Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jared S. Wallis, DDS

Individual provider General Practice Dentistry · NPI 1396033494

Dr. Jared S. Wallis, DDS is a General Practice Dentistry in Las Cruces, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2540 N Telshor Blvd Ste E
Las Cruces, NM 88011-8201
Phone: (575) 521-9375
Fax: (575) 521-2637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3512 (NM)
General Practice Dentistry Taxonomy 1223G0001X · Licence 3512 (NM)

Record details

NPI number1396033494
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESFebruary 11, 2019
Mailing address2540 N Telshor Blvd Ste E, Las Cruces, NM 88011-8201

Other providers in Las Cruces