Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN ANTHONY WALLACE, D.D.S.
Active Sole ProprietorDR. STEPHEN ANTHONY WALLACE, D.D.S. is a Dentist healthcare provider located in LA GRANGE, Illinois. NPI 1780781831 is currently active in the NPPES registry. Verify at CMS.
Dentist · LA GRANGE, IL
Registration Details
- NPI Number
- 1780781831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.864783197454 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 W BURLINGTON AVELA GRANGE, IL, 605252363Browse IL providers · Browse ZIP 60525
- Phone
- 7083522223
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LA GRANGE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY ALAN ROBIESON | D.D.S. | 1407883077 |
| ROBERT THOMAS CORTE | DDS | 1790857076 |
| DR. ANGELA C LEBESSIS | D.D.S | 1841341344 |
| CAROLYN ANNE BRONKE WIND | D.D.S. | 1629129846 |
| DR. THOMAS JAMES BELL | D.D.S. | 1659417244 |
| DR. JUDITH ANN DEAN | DDS | 1104016476 |
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.