Dr Martha Cochran Wallace, DMD in Birmingham, AL

Dr Martha Cochran Wallace, DMD is a Dentist - General Practice based in Birmingham, Alabama. Dr Martha Cochran Wallace is licensed to practice in Alabama (license number 3030) and her current practice location is 1400 6th Ave S, Birmingham, Alabama. She can be reached at her office (for appointments etc.) via phone at (205) 930-1015.

NPI number for Dr Martha Cochran Wallace is 1639172158 and her current mailing address is 1400 6th Ave S, Birmingham, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639172158.

Contact Information

	Dr Martha Cochran Wallace, DMD
	1400 6th Ave S, Birmingham, AL 35233-1502
	(205) 930-1015
	(205) 930-1448

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Martha Cochran Wallace
Gender	Female
Speciality	Dentist - General Practice
Location	1400 6th Ave S, Birmingham, Alabama
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1639172158
Provider Enumeration Date: 05/30/2005
Last Update Date: 01/05/2011

Medical Identifiers

Medical identifiers for Dr Martha Cochran Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639172158	NPI	-	NPPES
103678	Medicaid	AL
103676	Medicaid	AL
1639172158	Medicaid	AL
103546	Medicaid	AL
510-40457	Other	AL	BLUE CROSS BLUE SHIELD
510-40458	Other	AL	BLUE CROSS BLUE SHIELD
510-40459	Other	AL	BLUE CROSS BLUE SHIELD
103578	Medicaid	AL
510-40460	Other	AL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3030 (Alabama)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Martha Cochran Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Martha Cochran Wallace, DMD 1400 6th Ave S, Birmingham, AL 35233-1502 Ph: (205) 930-1015	Dr Martha Cochran Wallace, DMD 1400 6th Ave S, Birmingham, AL 35233-1502 Ph: (205) 930-1015

Reviews and Comments

Dentist in Birmingham, AL

Van Thanh Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 631 Bessemer Super Highway, Birmingham, AL 35228 Phone: 205-933-9110
Dr. Ryan Chase Seeley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-4507
Aissar N Sahori, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-3387
Donald Guy Rosenstiel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Deo Dara Dr, Birmingham, AL 35226 Phone: 205-979-8655
Dr. Victor F. Kyatt Iii, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Brookwood Medical Ctr Dr, Suite 6, Birmingham, AL 35209 Phone: 205-871-1229
Dr. Eric M. Blasingame, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-4551 Fax: 205-547-0486
Dr. Alvin Willis Stevens Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Century Park S, Suite 200, Birmingham, AL 35226 Phone: 205-822-3222 Fax: 205-822-3504

Dr Martha Cochran Wallace, DMD - Dentist in Birmingham, AL