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

Dr. Marshall Lynn Wallace, DMD

Individual provider Periodontics · NPI 1124092697

Dr. Marshall Lynn Wallace, DMD is a Periodontics in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3 Professional Ct
Sumter, SC 29150-1927
Phone: (803) 469-9461
Fax: (803) 469-9023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2839/363 (SC)

Record details

NPI number1124092697
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 13, 2026