DR. LEIGH M WALLACE (NPI# 1932367414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932367414 |
| Entity Type | Individual |
| Full Name | DR. LEIGH M WALLACE |
| Other Name | DR. CYNTHIA LEIGH MORRELL |
| Credential | DDS |
| Practice Address |
515 W 6th St Jacksonville FL 32206-4324 |
| Mailing Address |
900 University Blvd N Mc - 75 Jacksonville FL 32211-9230 |
| Practice Telephone | 9042531210 |
| Practice Fax Number | 9042531956 |
| Mailing Telephone | 9042532062 |
| Mailing Fax Number | 9042531942 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2013-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN10583 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
10583 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0017918-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790822922 | Leigh A Wallace | Speech-Language Pathologist | 4154 Lomac St, Montgomery, AL 36106-2815 | 2007-01-30 |
| Street Address |
515 W 6TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710946124 | Jeffrey Taylor Lauer | Internal Medicine | 515 W 6th St, Mc, Jacksonville, FL 32206-4324 | 2006-03-23 |
| 1518432582 | Brea Simone Parks | Pharmacist | 515 W 6th St, Jacksonville, FL 32206-4324 | 2018-10-05 |
| 1881174100 | Allison Lloyd | Pharmacist | 515 W 6th St, Jacksonville, FL 32206-4324 | 2018-08-16 |
| 1417323932 | Kethura S Pullins | Pharmacist | 515 W 6th St, Mc-47, Jacksonville, FL 32206-4324 | 2015-08-19 |
| 1346629953 | Felicia Mitchell | Case Manager/Care Coordinator | 515 W 6th St, Jacksonville, FL 32206-4324 | 2015-05-28 |
| 1578967618 | Doris Elizabeth Smith | Nurse Practitioner | 515 W 6th St, Jacksonville, FL 32206-4324 | 2014-10-17 |
| 1922368612 | Sheila Joan Gately | Obstetrics & Gynecology | 515 W 6th St, Jacksonville, FL 32206-4324 | 2012-05-29 |
| 1255657979 | Carmen Liliana Isache | Internal Medicine | 515 W 6th St, Jacksonville, FL 32206-4324 | 2010-04-20 |
| 1912116229 | Miriam Hirschberg | Nurse Practitioner | 515 W 6th St, Jacksonville, FL 32206-4324 | 2007-05-22 |
| 1144362625 | Keecia D King | Pharmacist | 515 W 6th St, Jacksonville, FL 32206-4324 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
| 1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
| 1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
| 1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
| 1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
| 1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
| Find all providers in zip 32206 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018424 | Sydney Fowler | Dentist | 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 | 2020-09-21 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1659923118 | San Jose Aspen Pllc | Dentist | 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 | 2019-07-15 |
| 1326603176 | Evens Family Dental | Dentist | 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 | 2019-05-07 |
| 1487123006 | Susan Prater Kudlats, D.m.d, P.a. | Dentist | 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 | 2018-11-14 |
| 1043792534 | Atlantic Dentistry Pa | Dentist | 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 | 2018-08-31 |
| 1447738620 | Argyle Dental Pllc | Dentist | 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 | 2018-07-31 |
| 1427534445 | Sandeep Chunduru | Dentist | 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 | 2018-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32206 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.