Wallace Carrillo-Medina, DMD

NPI 1558649947 · on the registry since 2011

Practice

Address: 101 Northpoint Ave
High Point, NC 27262
Phone: (336) 883-6450
Fax: (336) 883-6451
Organisation at this address: Annie M Reid D.D.S.
Lane And Associates Xxxviii Dds Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina