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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY SAMUEL WALLIS, D.M.D.

Active

DR. JEFFREY SAMUEL WALLIS, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CHERRY HILL, New Jersey. NPI 1528371507 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CHERRY HILL, NJ

Registration Details

NPI Number
1528371507
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2010 (16.09240461625 yrs)
Last Updated
Oct 30, 2014
Licenses
DS038160 (PA)
22DI02571300 (NJ)
22DI02571301 (NJ)

Practice Information

Address
17 W ORMOND AVE
CHERRY HILL, NJ, 080023041
Browse NJ providers · Browse ZIP 08002
Phone
8564284445
Fax
8564284497
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in CHERRY HILL, NJ

Name Credential NPI
DR. PAUL BARTON COHEN DDS 1790854784
CHANDINI HUDSON D.D.S. 1396942397
DR. WILLIAM C KLEIN D.D.S. 1720212558
DR. SHARIQ A VAZIR DDS 1225367907
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.