Jennifer Kristine Wallace in Beaufort - General Practice
Jennifer Kristine Wallace - NPI 1316930233
Jennifer Kristine Wallace is a General Practice in Beaufort, South Carolina. Jennifer Kristine Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer Kristine Wallace is 1316930233. The last update date is 2007-07-08.
Jennifer Kristine Wallace's current location address is 225 Distant Island Dr, Beaufort, South Carolina. You can contact this provider via phone number 8439861071. The mailing address for Jennifer Kristine Wallace is 225 Distant Island Dr, Beaufort, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Kristine Wallace |
|---|---|
| Address | 225 Distant Island Dr, Beaufort, South Carolina |
| Phone Number | 8439861071 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1316930233 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 225 Distant Island Dr |
|---|---|
| City | Beaufort |
| State | South Carolina (SC) |
| Post Code | 299071558 |
| Phone Number | 8439861071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3538 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer Kristine Wallace?
The Jennifer Kristine Wallace has been issued the NPI (National Provider Identifier) 1316930233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jennifer Kristine Wallace is physically located?
The Jennifer Kristine Wallace is physically situated at the following address: 225 Distant Island Dr, Beaufort, SC, 299071558.
What is Jennifer Kristine Wallace's area of expertise and its corresponding taxonomy classification?
The Jennifer Kristine Wallace's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Jennifer Kristine Wallace receive its 1316930233 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Kristine Wallace was assigned its 1316930233 on 2005-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jennifer Kristine Wallace most recently updated or revised?
The information pertaining to Jennifer Kristine Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.