Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephen Wallace DDS Inc

Organization General Practice Dentistry · NPI 1902059678

Stephen Wallace DDS Inc is a General Practice Dentistry in LA Grange, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

310 W Burlington Ave
LA Grange, IL 60525-2363
Phone: (708) 352-2223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 021252 (IL)

Record details

NPI number1902059678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Wallace — President · (708) 352-2223
NPI enumeratedOctober 28, 2008
Last updated in NPPESOctober 28, 2008
Mailing address310 W Burlington Ave, La Grange, IL 60525-2363

Other providers in LA Grange