Stephen Wallace, DDS
NPI 1679868822 · Periodontics · Waterbury, CT
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Wallace, DDS is a Periodontics provider in Waterbury, CT (NPI 1679868822).
Provider details
- NPI number
- 1679868822
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4383 (CT)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
15 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$10,000 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2012-03-29
Frequently asked questions
- What is Stephen Wallace's NPI number?
- Stephen Wallace's National Provider Identifier (NPI) is 1679868822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Wallace's specialty?
- Stephen Wallace is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Stephen Wallace located?
- Stephen Wallace's practice location on file with NPPES is 140 Grandview Ave, Waterbury, CT 06708-2505.
- What is Stephen Wallace's phone number?
- The practice phone number listed in the NPPES registry for Stephen Wallace is (203) 753-1112.
- Does Stephen Wallace accept Medicare?
- Stephen Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Wallace's NPI active?
- Yes — Stephen Wallace's NPI (1679868822) is active in the NPPES registry as of the last update on 2012-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.