SHERNIQUE WALLACE DDS NPI 1073907960

NPI Information

NPI: 1073907960
Provider Name: SHERNIQUE WALLACE, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
PECOS Registration: Yes
Address: 8330 LONG POINT RD
HOUSTON, TX
ZIP 77055
Phone: (713) 461-4770

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NPI Details

Shernique Wallace, DDS is a general practice dentist in Houston, TX. The provider is 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. Shernique Wallace, DDS NPI is 1073907960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8330 LONG POINT RD
HOUSTON, TX
ZIP 77055
Phone: (713) 461-4770

The NPI 1073907960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/27/2015 and was last updated on 6/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		059085-1	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program			NEW YORK	No
3	1223G0001X	Dentist	General Practice	33849	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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