Stephen S. Wallace, DDS
NPI 1679868822ActiveIndividual· Dentist, Periodontics· Waterbury, CT
Dentist, Periodontics (DDS) in Waterbury, Connecticut, licensed in CT, NY and MA, with an NPI issued in June 2011. Enrolled in Medicare as order and referring only - oral surgery. Dentium USA reported $2,780 in payments in 2025, mostly travel and lodging.
Overview
| NPI | 1679868822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 16, 2011 |
| Last updated in NPPES | Mar 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 4383 | CT |
| Dentist, Periodontics | 1223P0300X | 044912-1 | NY |
| Dentist, Periodontics | 1223P0300X | DN11169 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (NY) |
|---|
Industry payments (Open Payments)
- 2025$2,780 · 1 payment from 1 company
- 2024$10,000 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentium USA | $2,780 | 1 |
What the 2025 payments were for
- Travel and Lodging$2,780 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Periodontics providers in Waterbury
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