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

Leslie Suzanne Wallace, DMD

Individual provider Pediatric Dentistry · NPI 1629301833

Leslie Suzanne Wallace, DMD is a Pediatric Dentistry in Lebanon, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

103 Physicians Way Ste 150
Lebanon, TN 37090-4104
Phone: (859) 948-0386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8973 (TN)

Record details

NPI number1629301833
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 8, 2009
Last updated in NPPESJanuary 8, 2014

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