Giselle Fourier Wallace, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

064313 Issued in NY

Practice address

445 Albee SQ
Brooklyn, NY 11201-5177

Phone

(646) 997-4300

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1770286643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BERGEN ST APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163497",
            "telephone_number": "973-508-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ALBEE SQ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015177",
            "telephone_number": "646-997-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "GISELLE",
        "middle_name": "FOURIER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallabout Pharmacy Inc
• Wallace Health, Inc.
• Georgia Wallace-Scott
• Dorian James Wallace, MT-BC
• Elese Marlene Wallace, LPN
• Gloria Elizabeeth Wallace Jr., RN
• James Richard Wallace, M.D.
• Margaret Wallace
• Marisa Wallace, M.S. CCC-SLP
• Nichole Wallace, PA

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.