DR. STEPHEN CURTIS WALLACE D.D.S.,M.H.S.,P.A.
NPI 1104820174
Dentist - Periodontics in Wilmington, NC

Q: What is Stephen Wallace's NPI number?

The NPI number for Stephen Wallace is 1104820174. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Stephen Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2005

2525 DELANEY RD, WILMINGTON, NC 28403(910) 343-0444(910) 343-9512 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Stephen Curtis Wallace D.d.s.,m.h.s.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN CURTIS WALLACE D.D.S.,M.H.S.,P.A. (NPI 1104820174) is an individual periodontics provider in Wilmington, North Carolina, licensed in North Carolina (4127) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104820174

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. STEPHEN CURTIS WALLACECredential: D.D.S.,M.H.S.,P.A.

Location Address2525 DELANEY RDWilmington, NC 28403-6003

Mailing Address2525 Delaney RdWilmington, NC 28403-6003 · (910) 343-0444 · Fax (910) 343-9512

Phone(910) 343-0444

Fax(910) 343-9512

Sole ProprietorYes

Enumeration DateJune 8, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104820174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NC · 4127

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2525 DELANEY RD, Wilmington, NC 28403

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU53190NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Wallace's NPI number?

The NPI number for Stephen Wallace is 1104820174. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Stephen Wallace located?

Stephen Wallace practices at 2525 Delaney Rd, Wilmington, NC 28403. The listed phone number is (910) 343-0444.

What is Stephen Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Stephen Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.