STEPHEN WALLACE DDS PC
NPI 1629121561
Dentist - Periodontics in Waterbury, CT
About Stephen Wallace Dds Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN WALLACE DDS PC (NPI 1629121561) is a healthcare organization registered as a periodontics in Waterbury, Connecticut and active in the NPI registry since January 2007. The organization lists Jennifer M Cathcart, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Group Practice 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERBURY, CT 06708
WATERBURY, CT 06708
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 Dds PC's NPI number?
The NPI number for Stephen Wallace Dds PC is 1629121561. It was assigned to this organization in the NPPES registry on January 22, 2007.
Where is Stephen Wallace Dds PC located?
Stephen Wallace Dds PC is located at 140 Grandview Ave Suite 102, Waterbury, CT 06708. The listed phone number is (203) 753-1112.
What is Stephen Wallace Dds PC'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 Dds PC was last updated on March 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.
