Stephen C. Wallace, D.D.S.,M.H.S.,P.A.
Periodontics · Wilmington, NC
UnclaimedD.D.S.,M.H.S.,P.A.NPI 1104820174
- Primary taxonomy
- 1223P0300X
- Enumerated
- 2005-06-08
- Practice location
- Wilmington, NC
- Last NPPES update
- 2007-07-08
State licenses
- NC · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.