Wallen, Jillian Alexandra
Wallen, Jillian Alexandra is an sole proprietor health care provider with primary practice located at 444 So. 44Th Street Unmc Pediatric Dentistry, Omaha NE 68198-5450. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wallen, Jillian Alexandra can be contacted via phone (402) 559-7954.Contact Information
Primary practice address
444 So. 44Th Street Unmc Pediatric Dentistry
Omaha NE 68198-5450
Phone: (402) 559-7954
Fax: (402) 559-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | LL539 | Maryland |
Profile Details
| NPI number | 1750555793 |
|---|---|
| LBN Legal business name | Wallen, Jillian Alexandra |
| Credentials | B.D.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Oct 19th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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