Individual provider · Type 1 NPI

Jennifer Kristine Wallace, DMD

General Practice Dentistry · Beaufort, SC

NPI number 1316930233 Active

Practice location

Beaufort Naval Hospital, 1 Pickney Ave
Beaufort, SC 29902

Mailing address

225 Distant Island Dr
Beaufort, SC 29907-1558

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3538 (SC)

General Practice Dentistry: 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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About NPI 1316930233

Jennifer Kristine Wallace, DMD's National Provider Identifier is 1316930233, issued on Aug 25, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Beaufort, SC. The record was last updated on Jul 8, 2007.