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STEPHEN WALLACE DDS INC
NPI 1902059678
Dentist - General Practice in La Grange, IL

Active since October 28, 2008
310 W BURLINGTON AVE, LA GRANGE, IL 60525(708) 352-2223 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Wallace Dds Inc NPPES

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

STEPHEN WALLACE DDS INC (NPI 1902059678) is a healthcare organization registered as a general practice in La Grange, Illinois and active in the NPI registry since October 2008. The organization lists Stephen Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1902059678
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTEPHEN WALLACE DDS INC
Location Address310 W BURLINGTON AVELa Grange, IL 60525-2363
Mailing Address310 W Burlington AveLa Grange, IL 60525-2363 · (708) 352-2223
Phone(708) 352-2223
Organization SubpartNo
Authorized OfficialStephen WallacePresident · (708) 352-2223
Enumeration DateOctober 28, 2008
✔ NPI 1902059678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 021252
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
310 W BURLINGTON AVE, La Grange, IL 60525
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DHAVAL V SHAH DMD PC
Dentist (General Practice)
310 W BURLINGTON AVE
LA GRANGE, IL 60525
Cook County (708) 352-2223
DR. STEPHEN ANTHONY WALLACE D.D.S.
Dentist
310 W BURLINGTON AVE
LA GRANGE, IL 60525
Cook County (708) 352-2223

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 Inc's NPI number?

The NPI number for Stephen Wallace Dds Inc is 1902059678. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Stephen Wallace Dds Inc located?

Stephen Wallace Dds Inc is located at 310 W Burlington Ave, La Grange, IL 60525. The listed phone number is (708) 352-2223.

What is Stephen Wallace Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Stephen Wallace Dds Inc was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.