Stephen Wallace Dds Pc is a Periodontology Clinic in Waterbury, Connecticut. It is located at 140 Grandview Ave, Suite 102, Waterbury, CT and its contact number is 203-753-1112. The authorized person for Stephen Wallace Dds Pc is Mrs. Jennifer M Cathcart
who is Office Manager of the clinic and their contact number is 203-753-1112. The primary license number for Stephen Wallace Dds Pc is 4383 (Periodontics) in Connecticut. Stephen Wallace Dds Pc Clinic is specialized in that branch 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.
Complete Clinic Profile:
Stephen Wallace Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Stephen Wallace Dds Pc
Specialization:
Periodontology
Clinic Address:
140 Grandview Ave, Suite 102, Waterbury, Connecticut, 06708
Phone:
203-753-1112
Fax:
203-573-0773
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Jennifer M Cathcart
Position:
Office Manager
Contact Number:
203-753-1112
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Stephen Wallace Dds Pc clinic are as mentioned below.
NPI Number:
1629121561
NPI Enumeration Date:
22 Jan, 2007
NPI Last Update On:
22 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen Wallace Dds Pc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
4383
Connecticut
Primary
Periodontics
044912-1
New York
Secondary
Periodontics
DN11169
Massachusetts
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stephen Wallace Dds Pc 140 Grandview Ave, Suite 102 Waterbury, Connecticut
Zip:
06708
Phone Number:
203-753-1112
Fax Number:
203-573-0773
Patients can reach Stephen Wallace Dds Pc at 140 Grandview Ave, Suite 102, Waterbury, Connecticut or can call to book an appointment on 203-753-1112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.