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

Dr. Stephen S Wallace, DDS

Individual provider Periodontics · NPI 1679868822

Dr. Stephen S Wallace, DDS is a Periodontics in Waterbury, Connecticut. Practices as a sole proprietor. Licensed in Connecticut, Massachusetts and New York.

Licensed in
CT, MA, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

140 Grandview Ave Ste 102
Waterbury, CT 06708-2505
Phone: (203) 753-1112
Fax: (203) 573-0773
Show map & directions

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 number1679868822
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 16, 2011
Last updated in NPPESMarch 29, 2012

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