OrganizationActive
Stephen Wallace DDS Inc
NPI 1902059678 · General Practice Dentistry · La Grange, IL
Stephen Wallace DDS Inc is a General Practice Dentistry organization in La Grange, IL (NPI 1902059678).
Provider details
- NPI number
- 1902059678
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Wallace, President(708) 352-2223
- License
- 021252 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
310 W Burlington Ave
La Grange, IL 60525-2363
Phone: (708) 352-2223
Street-level locationGet directions
Mailing address
310 W Burlington Ave
La Grange, IL 60525-2363
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2008-10-28
Frequently asked questions
- What is Stephen Wallace DDS Inc's NPI number?
- Stephen Wallace DDS Inc's National Provider Identifier (NPI) is 1902059678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stephen Wallace DDS Inc?
- Stephen Wallace DDS Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Stephen Wallace DDS Inc located?
- Stephen Wallace DDS Inc's practice location on file with NPPES is 310 W Burlington Ave, La Grange, IL 60525-2363.
- What is Stephen Wallace DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Stephen Wallace DDS Inc is (708) 352-2223.
- Who is the authorized official for Stephen Wallace DDS Inc?
- The authorized official listed on Stephen Wallace DDS Inc's NPPES record is Stephen Wallace, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stephen Wallace DDS Inc's NPI active?
- Yes — Stephen Wallace DDS Inc's NPI (1902059678) is active in the NPPES registry as of the last update on 2008-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.