JILLIAN ALEXANDRA WALLEN (NPI# 1750555793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750555793 |
| Entity Type | Individual |
| Full Name | JILLIAN ALEXANDRA WALLEN |
| Other Name | JILLIAN ALEXANDRA EASTON |
| Credential | B.D.S. |
| Practice Address |
444 So. 44th Street Unmc Pediatric Dentistry Omaha NE 68198-5450 |
| Practice Telephone | 4025597954 |
| Practice Fax Number | 4025599307 |
| Mailing Telephone | 4025597954 |
| Mailing Fax Number | 4025599307 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
LL539 | MD | Dental Providers |
| Street Address |
444 SO. 44TH STREET UNMC PEDIATRIC DENTISTRY |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1598243511 | Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC | Dentist | 2410 S 73rd St Ste 203, Omaha, NE 68124-2395 | 2018-08-01 |
| 1023481066 | Eric D Hodges Dds PC | Dentist | 2410 So. 73rd St., Omaha, NE 68124-2395 | 2015-11-12 |
| 1407285844 | Smile Station Pediatric Dentistry | Dentist | 6801 S 180th St, Omaha, NE 68135-3264 | 2013-11-06 |
| 1285074443 | Amanda M Snyder | Dentist | 2521 S 119th St, Omaha, NE 68144-2976 | 2013-07-02 |
| 1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
| 1598039257 | Lourdes M Secola | Dentist | 14270 W Maple Rd, Omaha, NE 68164-2436 | 2012-02-28 |
| 1134493083 | Chidren's Dentistry of South Omaha, LLC | Dentist | 2424 Oak St, Omaha, NE 68105-3727 | 2012-02-23 |
| 1982998860 | Elliott Bailey | Dentist | Munroe Meyer Institute 985450, Nebraska Medical Center, Omaha, NE 68198-5450 | 2011-06-08 |
| 1235330150 | Lisa Frost Strunk | Dentist | 2514 S 119th St, Omaha, NE 68144-2869 | 2007-05-29 |
| Find all providers in OMAHA | ||||
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| 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.