Stephen Anthony Wallace, D.D.S.
Dentist · La Grange, IL
NPI number
1780781831
Practice location
310 W Burlington AveLa Grange, IL 60525-2363
- Phone
- (708) 352-2223
NPI record
- NPI
- 1780781831
- Entity type
- Individual (Type 1)
- Enumeration date
- September 20, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
— | IL |
About Dr. Wallace
Stephen Anthony Wallace, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 310 W Burlington Ave, La Grange, IL 60525-2363. The NPI number 1780781831 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Stephen Anthony Wallace, D.D.S.?
The NPI number is 1780781831.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (708) 352-2223.
Where is Dr. Wallace located?
310 W Burlington Ave, La Grange, IL 60525-2363.
What is the taxonomy code for Dr. Wallace?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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