Doctor profile · Federal record
Dr. Wallace Colvin, D.D.S.
General Practice Dentistry · Mount Clemens, MI
- NPI 1730247222
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
69 Southbound Gratiot Ave
Mount Clemens, MI 480435545
(586) 783-7000
fax (586) 783-7003
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Michigan #2901016347
- Medicaid
- MI #4263930
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730247222. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $14.75 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
33
Patients
30
Total drug cost
$159
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 18 | 15 | $87 |
| Amoxicillin | Generic | 15 | 15 | $72 |
Frequently asked questions
What is Dr. Wallace Colvin's medical specialty?
Dr. Wallace Colvin practices General Practice Dentistry in Mount Clemens, MI.
Where does Dr. Wallace Colvin practice?
Dr. Wallace Colvin practices at 69 Southbound Gratiot Ave, Mount Clemens, MI 480435545. Office phone: 5867837000.
What is Dr. Wallace Colvin's NPI?
Dr. Wallace Colvin's National Provider Identifier (NPI) is 1730247222, issued by NPPES.