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NPI · 1679868822 · NPPES-sourced

Dr. Stephen Wallace DDS

ActivePeriodontics
NPI Number
1679868822
Type 1 · Individual
Taxonomy Code
1223P0300X
Contact
(203) 753-1112
License CT · 4383
Last Updated
Enumerated
Primary practice addressCT · 06708-2505
140 Grandview Ave, Suite 102Waterbury, CT 06708-2505
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About this NPIWhat this record shows.

NPI 1679868822 is registered to Dr. Stephen Wallace DDS, a Periodontics practising at 140 Grandview Ave, Suite 102 in Waterbury, Connecticut. Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Stephen Wallace DDS has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Stephen Wallace DDS accepts. To confirm in-network status with your specific health plan, contact Dr. Stephen Wallace DDS directly at (203) 753-1112.

Frequently asked

Yes. NPI 1679868822 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (203) 753-1112.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Stephen Wallace DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223P0300X
Last updated
Enumerated
StatusActive
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