Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED S. WALLIS, DDS
ActiveDR. JARED S. WALLIS, DDS is a Dentist healthcare provider located in LAS CRUCES, New Mexico. NPI 1396033494 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAS CRUCES, NM
Registration Details
- NPI Number
- 1396033494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2011 (15.075307476018 yrs)
- Last Updated
- Feb 11, 2019
- Licenses
-
3512 (NM)3512 (NM)
Practice Information
- Address
-
2540 N TELSHOR BLVD STE ELAS CRUCES, NM, 880118201Browse NM providers · Browse ZIP 88011
- Phone
- 5755219375
- Fax
- 5755212637
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| RENEE TRUJILLO | DDS | 1053304501 |
| HOWARD PRAY | DDS | 1457344939 |
| PETER ANDREW HAYES | DMD | 1699768234 |
| KIMBERLY MARTIN | DMD | 1649263039 |
| DEBRA EDGERTON | DDS | 1447243837 |
| DR. LAUREN KILEY CUNNINGHAM | DDS | 1598752214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.