Dr. Stephen Wylie Wallace , DDS
Dentist - General Practice • Arlington, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Wallace has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stephen Wallace, DDS was a registered Dentist - General Practice practicing in Arlington, TX. Throughout an active medical career spanning 11 years, Dr. Wallace provided care at the practice location at 430 E. LAMAR BLVD. until profile deactivation on 2018-12-12.
Practice Location & Contact Primary Location
430 E. Lamar Blvd.
Suite C
Arlington, TX 760113600
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Arlington, TX
Practicing in Arlington, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Medicine
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 12, 2018
NPI status registered as active in NPPES database
Registered at 430 E. LAMAR BLVD., SUITE C, ARLINGTON, TX 760113600 (Tel: 8176640224)
Registered at 430-C E. LAMAR BLVD., ARLINGTON, TX 760113600 (Tel: 8176640224)
Recorded as STEPHEN WALLACE, D.D.S.
Dentist (License #17458 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
430-C E. Lamar Blvd.
Arlington, TX 760113600
Phone: 8176640224
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