Wallace, Jennifer Kristine
Wallace, Jennifer Kristine is an individual health care provider with primary practice located at Beaufort Naval Hospital 1 Pickney Ave, Beaufort SC 29902. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wallace, Jennifer Kristine can be contacted via phone (843) 228-3500.Contact Information
Primary practice address
Beaufort Naval Hospital 1 Pickney Ave
Beaufort SC 29902
Phone: (843) 228-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3538 | South Carolina |
Profile Details
| NPI number | 1316930233 |
|---|---|
| LBN Legal business name | Wallace, Jennifer Kristine |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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