Dustin Guy Wallace, DDS
NPI 1770932808ActiveIndividual· Dentist, General Practice· Pine Bluff, AR
Dentist, General Practice (DDS) in Pine Bluff, Arkansas, licensed in AR and TX, with an NPI issued in June 2016. Part D covered 185 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1770932808 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 9, 2016 |
| Last updated in NPPES | Mar 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4095 | AR |
| Dentist, General Practice | 1223G0001X | 32331 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 185 · 185 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $612.53 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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