DR. Stephen S Wallace, DDS is a periodontics dentist in Waterbury, CT. The provider is 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. DR. Stephen S Wallace, DDS NPI is 1679868822. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
140 GRANDVIEW AVE
SUITE 102
WATERBURY, CT
ZIP 06708-505
Phone: (203) 753-1112
Fax: (203) 573-0773
The NPI 1679868822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/16/2011 and was last updated on 3/29/2012.