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Dr. Marshall Lynn Wallace, DMD
Periodontist in Sumter, South Carolina
NPI 1124092697

Marshall Lynn Wallace is a Periodontist based in Sumter, SC and is specialized in Periodontics. Marshall Lynn Wallace practices in Sumter, SC and has the professional credentials of DMD. The NPI Number for Marshall Lynn Wallace is 1124092697 and holds a License No. 2839/363 (South Carolina).

The current practice location address for Marshall Lynn Wallace is 3 Professional Ct, Sumter, SC and can be reached out via phone at 803-469-9461 and via fax at 803-469-9023.

Location: 3 Professional Ct, Sumter, SC, 29150-1927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124092697
Provider Name
Marshall Lynn Wallace
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3 Professional Ct, Sumter, SC, 29150-1927
Phone Number
803-469-9461
Fax Number
803-469-9023
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9760 05 SC
institution
Provider Business Practice Location Address Details
Address
3 Professional Ct
City
Sumter
State
South Carolina
Zip
29150-1927
Phone Number
803-469-9461
Fax Number
803-469-9023
person
Provider Business Mailing Address Details
Address
3 Professional Ct
City
Sumter
State
South Carolina
Zip
29150-1927
Phone Number
803-469-9461
Fax Number
803-469-9023
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
2839/363 (South Carolina)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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