DR. KEVIN BRUCE WALLACE (D.M.D.) – Dentist, NPI 1316960131

Dentist

DR. KEVIN BRUCE WALLACE (D.M.D.) is a healthcare provider. based in Ocala, Florida. specializing in Dentist. They hold the professional credentials D.M.D.. They hold a License No. DN15774 (FL). The NPI Number for DR. KEVIN BRUCE WALLACE (D.M.D.) is 1316960131

Main info

Male

Sole Proprietor

Name

DR. KEVIN BRUCE WALLACE (D.M.D.)

NPI

1316960131

Phone

(352) 867-9890

Address

1107 S.E. 24 TERRACE

Enumeration Date

25 July 2006

Last Update Date

2 November 2011

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN BRUCE WALLACE (D.M.D.)

1107 S.E. 24 TERRACE
OCALA, FL 34471
Phone: (352) 867-9890
Fax: (352) 622-7616
Type: Mailing
949, North 14th Street, Leesburg, Lake County, Florida, 34748, United States
LEESBURG, FL 347483838
Phone: (352) 816-0855
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34471)

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Reviews

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Frequently asked questions

What number should I use to identify DR. KEVIN BRUCE WALLACE (D.M.D.) for billing?

Administrative and clinical systems typically use NPI 1316960131 for DR. KEVIN BRUCE WALLACE (D.M.D.).

Should I treat DR. KEVIN BRUCE WALLACE (D.M.D.) as an active provider?

Patients and plans typically see DR. KEVIN BRUCE WALLACE (D.M.D.) as active in the national extract.

What does the directory say DR. KEVIN BRUCE WALLACE (D.M.D.) does?

Insurance directories may phrase it differently, but here DR. KEVIN BRUCE WALLACE (D.M.D.) maps to Dentist. Clinical services aligned with this taxonomy classification.

What geographic area is tied to DR. KEVIN BRUCE WALLACE (D.M.D.)?

DR. KEVIN BRUCE WALLACE (D.M.D.) is associated with Ocala, Florida in the same public data insurers reference.

Why is information missing for DR. KEVIN BRUCE WALLACE (D.M.D.)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.