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Stephen Wallace Dds Pc
Periodontist in Waterbury, Connecticut
NPI 1629121561

Stephen Wallace Dds Pc is a Periodontist based in Waterbury, CT and is specialized in Periodontics. Stephen Wallace Dds Pc practices in Waterbury, CT. The NPI Number for Stephen Wallace Dds Pc is 1629121561 and holds a License No. 4383 (Connecticut).

The current practice location address for Stephen Wallace Dds Pc is 140 Grandview Ave, Waterbury, CT and can be reached out via phone at 203-753-1112 and via fax at 203-573-0773.

Location: 140 Grandview Ave, Waterbury, CT, 06708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629121561
Provider Name
Stephen Wallace Dds Pc
Credential
Provider Entity Type
Organization
Address
140 Grandview Ave, Waterbury, CT, 06708
Phone Number
203-753-1112
Fax Number
203-573-0773
Provider Enumeration Date
01/22/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
140 Grandview Ave
City
Waterbury
State
Connecticut
Zip
06708
Phone Number
203-753-1112
Fax Number
203-573-0773
person
Provider Business Mailing Address Details
Address
140 Grandview Ave
City
Waterbury
State
Connecticut
Zip
06708
Phone Number
203-753-1112
Fax Number
203-573-0773
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
4383 (Connecticut)
Definition
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.
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