NPI age
4 years
Enumerated 2022-04-10
● Active
Type 1 · Individual
Gina Wallace
Wallace is 1 of 1 dental hygienist providers in Brunswick and 1 of 229 in Georgia.
Primary specialty
Dental Hygienist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 229 active dental hygienist providers in Georgia.
NPI age
4 years
↓ 2 yr below median (6 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Practice location
4741 Altama Ave
Brunswick, GA 315202910
Mailing address
4741 Altama Ave
Brunswick, GA 315202910
Specialties
-
Dental Hygienist PrimaryAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.