Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN LEON WALLACE
Active Sole ProprietorSTEPHEN LEON WALLACE is a Orthodontics healthcare provider located in CLARKSVILLE, Tennessee. NPI 1205020286 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1205020286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2007 (18.915793194326 yrs)
- Last Updated
- Aug 31, 2007
- License
-
DS0000004001 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
225 DUNBAR CAVE RD STE BCLARKSVILLE, TN, 370438846Browse TN providers · Browse ZIP 37043
- Phone
- 9315525332
- Fax
- 9315526348
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. CYNTHIA ANN GREEN | DDS | 1396777934 |
| DR. GERALD RAYMOND KARR | DDS MS ORTHODONTICS | 1144326018 |
| DR. SCOTT G BLACKMAN | DDS MS ORTHODONTICS | 1790881662 |
| DR. SAMUEL ISAAC GENTRY | D.D.S., M.S. | 1053557744 |
| DR. JILLIAN MEEKS NYQUIST | D.D.S.,M.S. | 1538612064 |
| DR. MICHAEL JOHN SEELIG | DMD | 1801423710 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.