Doctor profile · Federal record
Dr. Marshall Wallace, DMD
Periodontist · Sumter, SC
- NPI 1124092697
- 20 yrs on file
- Male
- No sanctions
Practice & contact
- Primary practice
-
3 Professional CT
Sumter, SC 291501927
(803) 469-9461
fax (803) 469-9023
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- South Carolina #2839/363
- Medicaid
- SC #ZA9760
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124092697. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$551
Transactions
13
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona Inc | 13 | $550.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
211
Patients
174
Total drug cost
$1,535
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 115 | 87 | $359 |
| Diclofenac Potassium | Generic | 59 | 53 | $896 |
| Chlorhexidine Gluconate | Generic | 37 | 34 | $281 |
Frequently asked questions
What is Dr. Marshall Wallace's medical specialty?
Dr. Marshall Wallace practices Periodontist in Sumter, SC.
Where does Dr. Marshall Wallace practice?
Dr. Marshall Wallace practices at 3 Professional CT, Sumter, SC 291501927. Office phone: 8034699461.
What is Dr. Marshall Wallace's NPI?
Dr. Marshall Wallace's National Provider Identifier (NPI) is 1124092697, issued by NPPES.