DR. STEPHEN WYLIE WALLACE (NPI# 1831304062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831304062 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN WYLIE WALLACE |
| Credential | D.D.S. |
| Practice Address |
430 E. Lamar Blvd. Suite C Arlington TX 76011-3600 |
| Mailing Address |
430-c E. Lamar Blvd. Arlington TX 76011-3600 |
| Practice Telephone | 8176640224 |
| Practice Fax Number | 8172743844 |
| Mailing Telephone | 8176640224 |
| Mailing Fax Number | 8172743844 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17458 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220061 | Stephen Wallace | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Upmc Presbyterian, South Tower 2nd Floor, Suite 200, Pittsburgh, PA 15213 | 2018-03-24 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1205020286 | Stephen Leon Wallace | Dentist | 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8846 | 2007-08-31 |
| 1780781831 | Stephen Anthony Wallace | Dentist | 310 W Burlington Ave, La Grange, IL 60525-2363 | 2006-09-20 |
| 1437264330 | Stephen R. Wallace | Social Worker | 74 Dana St, Providence, RI 02906-2620 | 2006-08-20 |
| 1336131044 | Stephen A Wallace | Anesthesiology | 2741 S 8th Ave, Suite C, Yuma, AZ 85364-7154 | 2005-08-18 |
| 1104820174 | Stephen Curtis Wallace | Dentist | 2525 Delaney Rd, Wilmington, NC 28403-6003 | 2005-06-08 |
| 1427668102 | Stephen Wallace | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2020-08-06 |
| 1053849802 | Stephen Paden Wallace | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2017-05-24 |
| 1205222502 | Stephen Blake Wallace | Orthopaedic Surgery | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2015-04-13 |
| Street Address |
430 E. LAMAR BLVD. SUITE C |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76011-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271361 | Shaina Jayde Arellano | Nurse Practitioner | 420 E Lamar Blvd, Ste 204, Arlington, TX 76011 | 2019-12-07 |
| 1649827536 | Epic Chiropractic Solutions Pllc | Chiropractor | 600 Six Flags Drive, Center Point Three, Suite 442, Arlington, TX 76011 | 2019-08-25 |
| 1811452162 | Daniel Max & Marcandrea LLC | Optometrist | 1705 N Collins St #141, Arlington, TX 76011 | 2019-01-31 |
| 1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
| 1467974279 | Affinity Sleep Care | Respiratory Therapist, Certified | 601 Magic Mile St, Arlington, TX 76011 | 2017-07-13 |
| 1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
| 1811350366 | Kristina Elayne Plano | Counselor | 1112 E. Copeland Road, Suite 310, Arlington, TX 76011 | 2016-04-01 |
| 1104298686 | North Texas Mobile Urgent Care, Pllc | Nurse Practitioner | 805 Washington Dr., Suite F, Arlington, TX 76011 | 2015-10-23 |
| 1265819916 | Etta Leora Hammie | Licensed Practical Nurse | 2327 Oakland Blvd, Ft. Worth, TX 76011 | 2015-05-01 |
| 1548675010 | Kathleen Hall Pignatelli | Licensed Vocational Nurse | 536 W. Randol Rd., Arlington, TX 76011 | 2014-06-24 |
| Find all providers in zip 76011 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
| 1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
| 1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
| 1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
| 1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
| 1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
| 1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.