person
Jillian Alexandra Wallen, BDS
Pediatric Dentist in Omaha, Nebraska
NPI 1750555793

Jillian Alexandra Wallen is a Pediatric Dentist based in Omaha, NE and is specialized in Pediatric Dentistry. Jillian Alexandra Wallen practices in Omaha, NE and has the professional credentials of BDS. The NPI Number for Jillian Alexandra Wallen is 1750555793 and holds a License No. LL539 (Nebraska).

The current practice location address for Jillian Alexandra Wallen is 444 So. 44Th Street, Omaha, NE and can be reached out via phone at 402-559-7954 and via fax at 402-559-9307.

Location: 444 So. 44Th Street, Omaha, NE, 68198-5450
person
Provider Profile Details
NPI Number
1750555793
Provider Name
Jillian Alexandra Wallen
Credential
BDS
Provider Entity Type
Individual
Gender
Female
Address
444 So. 44Th Street, Omaha, NE, 68198-5450
Phone Number
402-559-7954
Fax Number
402-559-9307
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
444 So. 44Th Street
City
State
Zip
68198-5450
Phone Number
402-559-7954
Fax Number
402-559-9307
person
Provider Business Mailing Address Details
Address
444 So. 44Th Street
City
State
Zip
68198-5450
Phone Number
402-559-7954
Fax Number
402-559-9307
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
LL539 (Maryland)
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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