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Provider Profile

Stephen S. Wallace, DDS

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At a glance

About Dr. Wallace

Based in Waterbury, CT, Stephen S. Wallace, DDS is listed in the NPI registry under periodontics. NPI 1679868822 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Periodontics (Primary)

Credentials & Licensing

CT licenceAs reported to the NPI registry
No. 4383As reported
MA licenceAs reported to the NPI registry
No. DN11169As reported
NY licenceAs reported to the NPI registry
No. 044912-1As reported
NPINational Provider Identifier
1679868822Issued 2011

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Wallace's specialty?

Dr. Wallace is a periodontics in Waterbury, CT. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Dr. Wallace?

Dr. Wallace is listed at 140 Grandview Ave Suite 102, Waterbury, CT 06708. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Wallace?

The number on file is (203) 753-1112. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Wallace's NPI number?

Dr. Wallace's National Provider Identifier is 1679868822. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Wallace been practicing?

Dr. Wallace has 15+ years experience. Registered with an NPI since 2011. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.

Guide.md

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