Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leigh M Wallace, DDS

Individual provider General Practice Dentistry · NPI 1932367414

Dr. Leigh M Wallace, DDS is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

515 W 6th St
Jacksonville, FL 32206-4324
Phone: (904) 253-1210
Fax: (904) 253-1956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN10583 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10583 (FL)

Record details

NPI number1932367414
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2008
Last updated in NPPESFebruary 22, 2013

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