Individual provider · Type 1 NPI

Stephen Curtis Wallace, DDS, M.H.S., P.A.

Periodontics · Wilmington, NC

NPI number 1104820174 Active

Practice location

2525 Delaney Rd
Wilmington, NC 28403-6003

Fax (910) 343-9512

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X4127 (NC)

Periodontics: 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.

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About NPI 1104820174

Stephen Curtis Wallace, DDS, M.H.S., P.A.'s National Provider Identifier is 1104820174, issued on Jun 8, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Wilmington, NC. The record was last updated on Jul 8, 2007.