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Dr. Stephen S Wallace, DDS
Periodontist in Waterbury, Connecticut
NPI 1679868822

Stephen S Wallace is a Periodontist based in Waterbury, CT and is specialized in Periodontics. Stephen S Wallace practices in Waterbury, CT and has the professional credentials of DDS. The NPI Number for Stephen S Wallace is 1679868822 and holds a License No. 4383 (Connecticut).

The current practice location address for Stephen S Wallace is 140 Grandview Ave, Waterbury, CT and can be reached out via phone at 203-753-1112 and via fax at 203-573-0773. You can also correspond with Stephen S Wallace through the mailing address at 140 GRANDVIEW AVE, WATERBURY, CT - 06708-2505 (mailing address contact number: 203-753-1112).

Location: 140 Grandview Ave, Waterbury, CT, 06708-2505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679868822
Provider Name
Stephen S Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
140 Grandview Ave, Waterbury, CT, 06708-2505
Phone Number
203-753-1112
Fax Number
203-573-0773
Provider Enumeration Date
06/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Grandview Ave
City
Waterbury
State
Connecticut
Zip
06708-2505
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
06708-2505
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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