Doctor profile · Federal record

Dr. McKenzie Wallace, Student

General Practice Dentistry · Student in an Organized Health Care Education/Training Program · Saint Paul, MN

  • NPI 1194429597
  • 3 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1026 7Th St W
Saint Paul, MN 551023828
(651) 758-9500

Credentials & registration

NPPES · NUCC
NPI registered
March 2023 — 3 yrs on file
Profile last updated
May 25, 2023
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Minnesota #D14879

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1194429597. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$105
Transactions
4
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Colgate Oral Pharmaceuticals, INC. 3 $72.11
Solventum Corporation 1 $32.60

By nature of payment

Education
$72
Food and Beverage
$33

Frequently asked questions

Auto-generated from federal data
What is Dr. McKenzie Wallace's medical specialty?
Dr. McKenzie Wallace practices General Practice Dentistry in Saint Paul, MN.
Where does Dr. McKenzie Wallace practice?
Dr. McKenzie Wallace practices at 1026 7Th St W, Saint Paul, MN 551023828. Office phone: 6517589500.
What is Dr. McKenzie Wallace's NPI?
Dr. McKenzie Wallace's National Provider Identifier (NPI) is 1194429597, issued by NPPES.