Provider record
C M Wallace DDS PA
The public CMS NPPES listing for C M Wallace DDS PA places this General Practice Dentistry record in Bonita Springs, FL. The practice address is shown as 8951 Bonita Beach Rd, Bonita Springs, FL. NPPES also reports a phone number. Verify details before visiting or calling.
National Plan and Provider Enumeration System
Data pulled and checked
Reported to NPPES
No affiliation or endorsement implied
We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1578612925
- Entity type
- Organization
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 8951 Bonita Beach Rd
Bonita Springs, FL 34135-4201 - Phone
- (239) 992-8555
Directions
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How to verify this record
Use this page as a starting point, then confirm details from primary or direct sources.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223G0001X
- Specialty
- General Practice Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026