DR. JEFFREY SAMUEL WALLIS


Address: 17 W Ormond Ave, Cherry Hill, NJ 08002-3041
Phone: 8564284445

DR. JEFFREY SAMUEL WALLIS (NPI# 1528371507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528371507
Entity Type Individual
Full Name DR. JEFFREY SAMUEL WALLIS
Credential D.M.D.
Practice Address 17 W Ormond Ave
Cherry Hill
NJ 08002-3041
Practice Telephone 8564284445
Practice Fax Number 8564284497
Mailing Telephone 8564284445
Mailing Fax Number 8564284497
Enumeration Date 2010-07-20
Last Update Date 2014-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
22DI02571301 NJ Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
22DI02571300 NJ Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS038160 PA Dental Providers

Office Location

Street Address 17 W ORMOND AVE
City CHERRY HILL
State NJ
Zip Code 08002-3041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649261033 Matthew Eichen Dmd, Pa Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2005-11-03
1538573720 Southern New Jersey Oral Surgery Pa Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2014-06-16
1225367907 Shariq A Vazir Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2009-12-09
1720212558 William C Klein Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2009-05-07
1841469806 Shuaib Malik Dentist 17 W Ormond Ave, Oral and Maxillofacial Surgery, Cherry Hill, NJ 08002-3041 2008-02-25
1396942397 Chandini Hudson Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2007-07-02
1235145970 John Soh Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2006-08-01
1760405575 Matthew M Eichen Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2006-07-25
1205866720 Roger Jeffrey Harris Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2006-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649878547 Rachel J Crutchley Behavioral Analyst 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 2020-10-13
1356954713 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 650 Garden Park Blvd, Cherry Hill, NJ 08002 2020-08-26
1104483825 Advocare, LLC Specialist 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 2019-05-29
1881155299 Tyesha Thomas Counselor 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 2019-03-28
1982184479 Brian Keith Smalls Jr. Early Intervention Provider Agency 1701 Bishop View Circle, Cherry Hill, NJ 08002 2018-08-15
1124510094 Salvatore Montana Messina Student in an Organized Health Care Education/Training Program 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 2018-06-05
1871010397 Jocelyn Lea Daigle Counselor 2201 Chapel Avenue W, Cherry Hill, NJ 08002 2017-08-25
1225559495 Kennedy Medical Group Practice P.C. Dietitian, Registered 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 2017-06-28
1245750926 Casey Rich Behavioral Analyst 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 2017-06-22
1790211514 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11 Nevada Ave, Cherry Hill, NJ 08002 2017-05-11
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043215205 Alan Kleiman Dentist 148 Renaissance Dr, Cherry Hill, NJ 08003-5103 2005-06-15
1538573720 Southern New Jersey Oral Surgery Pa Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2014-06-16
1730503111 Precision Oral Surgery LLC Dentist 1765 Springdale Rd, Suite C-1, Cherry Hill, NJ 08003-2177 2014-02-06
1225367907 Shariq A Vazir Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2009-12-09
1720212558 William C Klein Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2009-05-07
1841469806 Shuaib Malik Dentist 17 W Ormond Ave, Oral and Maxillofacial Surgery, Cherry Hill, NJ 08002-3041 2008-02-25
1366658932 Oral & Maxillofacial Surgery Associates Pa Dentist 1910 Route 70 E, Suite 4, Cherry Hill, NJ 08003-2123 2007-05-14
1790854784 Paul Barton Cohen Dentist 1910 Marlton Pike E, Suite 4, Cherry Hill, NJ 08003-2123 2006-11-06
1205866720 Roger Jeffrey Harris Dentist 17 W Ormond Ave, Cherry Hill, NJ 08002-3041 2006-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124638861 Riverside Oral Surgery - Edison Dentist 80 Route 27, Edison, NJ 08820-3985 2020-08-07
1881227056 New Jersey Oral Surgery & Dental Implants LLC Dentist 87 Route 520, Morganville, NJ 07751-1241 2020-02-17
1003457441 Madison Dentistry LLC Dentist 268 Main Street, Suite B, Madison, NJ 07940 2019-10-07
1508424284 Posh Dental LLC Dentist 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 2019-05-29
1124598230 Jc Oral Health Care Pa Dentist 103 Greene St Fl 2, Jersey City, NJ 07302-3868 2018-12-01
1801370366 Palisades Park Dental P.C. Dentist 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 2018-09-20
1881174969 Bethel Oral Surgery & Implants, PC Dentist 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 2018-08-17
1790271641 Morristown Oral Surgery & Implantology Associates LLC Dentist 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 2018-07-03
1255826939 Riverside Oral Surgery - Livingston Dentist 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 2018-06-26
1295249456 Pa Dental LLC Dentist 17 Main St Ste 301, Robbinsville, NJ 08691-1401 2017-11-27
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Competitor

Search similar providers

City CHERRY HILL
Zip Code 08002

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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