Glynis Dynel Wallace, DMD - Dentist in San Pedro, CA

Glynis Dynel Wallace, DMD is a Dentist - General Practice based in San Pedro, California. Glynis Dynel Wallace is licensed to practice in California (license number 37179) and her current practice location is 779 W 20th St Apt 7, San Pedro, California. She can be reached at her office (for appointments etc.) via phone at (562) 221-1852.

NPI number for Glynis Dynel Wallace is 1669779732 and her current mailing address is 779 W 20th St Apt 7, San Pedro, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669779732.

Contact Information

Glynis Dynel Wallace, DMD
779 W 20th St Apt 7,
San Pedro, CA 90731-5359
(562) 221-1852
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGlynis Dynel Wallace
GenderFemale
SpecialityDentist - General Practice
Location779 W 20th St Apt 7, San Pedro, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669779732
  • Provider Enumeration Date: 02/24/2011
  • Last Update Date: 02/24/2011

Medical Identifiers

Medical identifiers for Glynis Dynel Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669779732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 37179 (California)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. Glynis Dynel 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 AddressPractice Location Address
Glynis Dynel Wallace, DMD
779 W 20th St Apt 7,
San Pedro, CA 90731-5359

Ph: (562) 221-1852
Glynis Dynel Wallace, DMD
779 W 20th St Apt 7,
San Pedro, CA 90731-5359

Ph: (562) 221-1852

Reviews and Comments


Dentist in San Pedro, CA

Erika Nakamura Gomez, D.D.S.
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Practice Location: 946 N Western Ave, San Pedro, CA 90732
Phone: 310-831-0735    Fax: 310-831-9784
Dr. Ava Pournejad, DDS
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Phone: 310-548-1273    
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Practice Location: 737 W 9th St, San Pedro, CA 90731
Phone: 310-833-5367    Fax: 310-833-6112
Dr. Won Sur Park, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 531 W 7th St Ste B, San Pedro, CA 90731
Phone: 310-831-0003    Fax: 310-626-4166
Dr. Aldwin Philip Lumanlan,
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Medicare: Not Enrolled in Medicare
Practice Location: 946 N Western Ave, San Pedro, CA 90732
Phone: 310-831-0735    
Dr. Christopher A Groat, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 1350 W 7th St, San Pedro, CA 90732
Phone: 310-832-5133    Fax: 310-832-1150

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.