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STEPHEN WALLACE DDS PC
NPI 1629121561
Dentist - Periodontics in Waterbury, CT

Active since January 22, 2007
140 GRANDVIEW AVE, SUITE 102, WATERBURY, CT 06708(203) 753-1112(203) 573-0773 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1629121561
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSTEPHEN WALLACE DDS PC
Location Address140 GRANDVIEW AVE, SUITE 102Waterbury, CT 06708
Mailing Address140 Grandview Ave, Suite 102Waterbury, CT 06708 · (203) 753-1112 · Fax (203) 573-0773
Phone(203) 753-1112
Fax(203) 573-0773
Organization SubpartNo
Authorized OfficialJennifer M CathcartOffice Manager · (203) 753-1112
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 22, 2012
✔ NPI 1629121561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in CT · 4383✔ Licensed in NY · 044912-1✔ Licensed in MA · DN11169
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.
140 GRANDVIEW AVE, Waterbury, CT 06708
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

GIRVICE ARCHER M.D
Anesthesiology
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000
DR. LYDIA AOUN-BARAKAT MD
Internal Medicine (Infectious Disease)
140 GRANDVIEW AVE, SUITE #L01
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 574-4187
GARY POUPKO M.D
Anesthesiology
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000
DR. MAJID SADIGH MD
Internal Medicine (Infectious Disease)
140 GRANDVIEW AVE, SUITE #101
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
JOSEPH ROCCO
Nurse Anesthetist, Certified Registered
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000
DR. WILLIAM D RIFKIN MD
Internal Medicine
140 GRANDVIEW AVE, SUITE #101
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
JANET L VODRA MD
Obstetrics & Gynecology
140 GRANDVIEW AVE, SUITE 202
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 755-2344
RAYMOND CLEMENT M.D
Anesthesiology
140 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 757-7000

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.