Phillip Wendell Wallace, D.D.S.
NPI 1083759930ActiveIndividual· Dentist, General Practice· Willoughby, OH
Dentist, General Practice (D.D.S.) in Willoughby, Ohio, licensed in OH, with an NPI issued in February 2007. Part D covered 298 prescriptions written in 2024, 89% of them generic. Align Technology, Inc. reported $26.27 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1083759930 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 16266 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (OH) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 298 · 300 30-day fills |
|---|---|
| Patients | 139 |
| Total drug cost | $1,460 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
- 2025$26.27 · 2 payments from 1 company
- 2024$20.57 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Align Technology, Inc. | $26.27 | 2 |
What the 2025 payments were for
- Food and Beverage$26.27 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 general dentists in Willoughby · All general dentists in Ohio