DR. STEPHEN CURTIS WALLACE (NPI# 1104820174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104820174 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN CURTIS WALLACE |
| Credential | D.D.S.,M.H.S.,P.A. |
| Practice Address |
2525 Delaney Rd Wilmington NC 28403-6003 |
| Practice Telephone | 9103430444 |
| Practice Fax Number | 9103439512 |
| Mailing Telephone | 9103430444 |
| Mailing Fax Number | 9103439512 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4127 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220061 | Stephen Wallace | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Upmc Presbyterian, South Tower 2nd Floor, Suite 200, Pittsburgh, PA 15213 | 2018-03-24 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1205020286 | Stephen Leon Wallace | Dentist | 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8846 | 2007-08-31 |
| 1831304062 | Stephen Wylie Wallace | Dentist | 430 E. Lamar Blvd., Suite C, Arlington, TX 76011-3600 | 2007-05-11 |
| 1780781831 | Stephen Anthony Wallace | Dentist | 310 W Burlington Ave, La Grange, IL 60525-2363 | 2006-09-20 |
| 1437264330 | Stephen R. Wallace | Social Worker | 74 Dana St, Providence, RI 02906-2620 | 2006-08-20 |
| 1336131044 | Stephen A Wallace | Anesthesiology | 2741 S 8th Ave, Suite C, Yuma, AZ 85364-7154 | 2005-08-18 |
| 1427668102 | Stephen Wallace | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2020-08-06 |
| 1053849802 | Stephen Paden Wallace | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2017-05-24 |
| 1205222502 | Stephen Blake Wallace | Orthopaedic Surgery | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2015-04-13 |
| Street Address |
2525 DELANEY RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044560 | Riccobene & Associates Xxxvi, Dds, P.a. | Dentist | 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 | 2019-10-15 |
| 1275044612 | Delaware Periodontics and Implants LLC | Dentist | 2300 Pennsylvania Ave Unit 5d, Wilmington, DE 19806-1392 | 2017-10-12 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1124181110 | Susan Kay Banta Dds Ms Pa | Dentist | 1611 Doctors Circle, Wilmington, NC 28401 | 2006-12-19 |
| 1003915091 | Darla Marie Brice | Dentist | 3512 Silverside Rd Ste 6, Wilmington, DE 19810-4941 | 2006-09-22 |
| 1871690438 | Margaret Munley | Dentist | 2004 Foulk Rd, Wilmington, DE 19810-3641 | 2006-09-17 |
| 1982719001 | Phyllis Byers Cook | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2006-08-20 |
| 1891744819 | Martin Scott Gould | Dentist | 7010 Market St, Wilmington, NC 28411-9728 | 2006-05-08 |
| 1053391706 | Bradford L Klassman | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2006-01-19 |
| 1497160212 | Deana C Cook, Dds, Ms, Pllc | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2014-07-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.