Jillian Alexandra Wallen in Omaha - Pediatric Dentistry
Jillian Alexandra Wallen - NPI 1750555793
Jillian Alexandra Wallen is a Pediatric Dentistry in Omaha, Nebraska. Jillian Alexandra Wallen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jillian Alexandra Wallen is 1750555793. The last update date is 2011-10-19.
Jillian Alexandra Wallen's current location address is 444 So. 44th Street, Omaha, Nebraska. You can contact this provider via phone number 4025597954 and fax number 4025599307. The mailing address for Jillian Alexandra Wallen is 444 So. 44th Street, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jillian Alexandra Wallen |
|---|---|
| Address | 444 So. 44th Street, Omaha, Nebraska |
| Phone Number | 4025597954 |
| Fax Number | 4025599307 |
| Sole Proprietor | Y |
| Credentials | B.D.S. |
NPI Number Detail
| NPI Number | 1750555793 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2011-10-19 |
Provider Mailing Address Detail
| Address | 444 So. 44th Street |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681985450 |
| Phone Number | 4025597954 |
| Fax Number | 4025599307 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | LL539 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the unique identification code assigned to Jillian Alexandra Wallen by the Centers for Medicare & Medicaid Services?
The Jillian Alexandra Wallen has been issued the NPI (National Provider Identifier) 1750555793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jillian Alexandra Wallen is geographically located?
The Jillian Alexandra Wallen is physically situated at the following location: 444 So. 44Th Street, Omaha, NE, 681985450.
What is the area of specialization for Jillian Alexandra Wallen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jillian Alexandra Wallen is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date was the 1750555793 assigned to Jillian Alexandra Wallen?
The Jillian Alexandra Wallen was issued its 1750555793 on 2008-04-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jillian Alexandra Wallen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jillian Alexandra Wallen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-19.