Individual provider · Type 1 NPI

Jared S. Wallis, DDS

Dentist · Las Cruces, NM

NPI number 1396033494 Active

Practice location

2540 N Telshor Blvd Ste E
Las Cruces, NM 88011-8201

Fax (575) 521-2637

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X3512 (NM)
Dentist Primary 122300000X3512 (NM)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1396033494

Jared S. Wallis, DDS's National Provider Identifier is 1396033494, issued on Jul 11, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Las Cruces, NM. The record was last updated on Feb 11, 2019.