Search › New Jersey › 1223S0112X
Jeffrey Wallis, D.M.D
NPI 1528371507 · on the registry since 2010
Practice
- Address
- 17 W Ormond Ave
Cherry Hill, NJ 08002 - Phone
- (856) 428-4445
- Fax
- (856) 428-4497
- Organisation at this address
- Matthew Eichen Dmd, Pa
Southern New Jersey Oral Surgery Pa
Cobblestone Kids Pediatric Dentistry Of New JerseyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
1223S0112X - Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey