OrganizationActive
Stephen Wallace DDS PC
NPI 1629121561 · Periodontics · Waterbury, CT
Stephen Wallace DDS PC is a Periodontics organization in Waterbury, CT (NPI 1629121561).
Provider details
- NPI number
- 1629121561
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Cathcart, Office Manager(203) 753-1112
- License
- 044912-1 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
140 Grandview Ave
Suite 102
Waterbury, CT 06708
Phone: (203) 753-1112
Fax: (203) 573-0773
Street-level locationGet directions
Mailing address
140 Grandview Ave
Waterbury, CT 06708
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2012-03-22
Frequently asked questions
- What is Stephen Wallace DDS PC's NPI number?
- Stephen Wallace DDS PC's National Provider Identifier (NPI) is 1629121561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stephen Wallace DDS PC?
- Stephen Wallace DDS PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Stephen Wallace DDS PC located?
- Stephen Wallace DDS PC's practice location on file with NPPES is 140 Grandview Ave, Waterbury, CT 06708.
- What is Stephen Wallace DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Stephen Wallace DDS PC is (203) 753-1112.
- Who is the authorized official for Stephen Wallace DDS PC?
- The authorized official listed on Stephen Wallace DDS PC's NPPES record is Jennifer Cathcart, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stephen Wallace DDS PC's NPI active?
- Yes — Stephen Wallace DDS PC's NPI (1629121561) is active in the NPPES registry as of the last update on 2012-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.