Stephen Wallace DDS PC
Stephen Wallace DDS PC is a Periodontics in Waterbury, Connecticut. Licensed in Connecticut, Massachusetts and New York. Registered with an NPI since 2007.
- Licensed in
- CT, MA, NY
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
140 Grandview Ave Ste 102Waterbury, CT 06708
Phone: (203) 753-1112
Fax: (203) 573-0773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 4383 (CT) |
|---|---|
| Periodontics | Taxonomy 1223P0300X · Licence 044912-1 (NY) |
| Periodontics | Taxonomy 1223P0300X · Licence DN11169 (MA) |
Record details
| NPI number | 1629121561 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Cathcart — Office Manager · (203) 753-1112 |
| NPI enumerated | January 22, 2007 |
| Last updated in NPPES | March 22, 2012 |
| Mailing address | 140 Grandview Ave, Suite 102, Waterbury, CT 06708 |
Other providers in Waterbury
-
Dr. Michael Israel, DDS
26 Lakeside Blvd E, Waterbury, CT 06708-2913 · (203) 754-4123
-
Dr. Wendell Philip Urling, DDS
60 Westwood Ave Ste 270, Waterbury, CT 06708 · (203) 753-9905
-
Dr. Stephen S Wallace, DDS
140 Grandview Ave Ste 102, Waterbury, CT 06708-2505 · (203) 753-1112