Stephen Wallace DDS Inc
NPI 1902059678ActiveOrganization· Dentist, General Practice· La Grange, IL
Dentist, General Practice in La Grange, Illinois, registered in NPPES in October 2008. The authorized official on file is Stephen Wallace, DDS, President.
Overview
| NPI | 1902059678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2008 |
| Last updated in NPPES | Oct 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 021252 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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