Wallis, Jeffrey Samuel

Wallis, Jeffrey Samuel is an individual health care provider with primary practice located at 17 W Ormond Ave , Cherry Hill NJ 08002-3041. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wallis, Jeffrey Samuel can be contacted via phone (856) 428-4445.

Contact Information

Primary practice address
17 W Ormond Ave Cherry Hill NJ 08002-3041
Phone: (856) 428-4445
Fax: (856) 428-4497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS038160 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02571300 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02571301 New Jersey

Profile Details

NPI number 1528371507
LBN Legal business name Wallis, Jeffrey Samuel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Oct 30th, 2014 - about 10 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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