Organization · Type 2 NPI
Stephen Wallace DDS PC
Periodontics · Waterbury, CT
NPI number
1629121561
Active
Practice location
140 Grandview Ave, Suite 102
Waterbury, CT 06708
Fax (203) 573-0773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 4383 (CT) |
| Periodontics | 1223P0300X | 044912-1 (NY) |
| Periodontics | 1223P0300X | DN11169 (MA) |
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.
58 other providers at this address
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- David G. Reis Md, LLCSpecialist Waterbury, CT NPI 1689846719
- Joseph L RendaNephrology Physician Waterbury, CT NPI 1841407848
- Reliable Pediatrics LLCPediatrics Physician Waterbury, CT NPI 1649345562
- Ronald A. Zlotoff, M.d., F.a.c.p., LLCGastroenterology Physician Waterbury, CT NPI 1922129014
- Waterbury Anesthesiology Assoc. IncAnesthesiology Physician Waterbury, CT NPI 1780631960
- Andre N. Sofair, MDInternal Medicine Physician Waterbury, CT NPI 1811961386
- Angela AndersonCertified Registered Nurse Anesthetist Waterbury, CT NPI 1568554277
- Ann GolymbieskiCertified Registered Nurse Anesthetist Waterbury, CT NPI 1700965282
- Bidarkote Somanath, MDPediatrics Physician Waterbury, CT NPI 1235131152
- Caleb Moore, MDInternal Medicine Physician Waterbury, CT NPI 1366461790
About NPI 1629121561
Stephen Wallace DDS PC's National Provider Identifier is 1629121561, issued on Jan 22, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Waterbury, CT. The record was last updated on Mar 22, 2012.