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

Dr. Jeffrey Samuel Wallis, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1528371507

Dr. Jeffrey Samuel Wallis, DMD is an Oral Surgery in Cherry Hill, New Jersey. Qualified in 2009, 17 years ago. Practices with Oral and Maxillofacial Surgical Associates, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
17
Licensed in
NJ, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

17 W Ormond Ave
Cherry Hill, NJ 08002-3041
Phone: (856) 428-4445
Fax: (856) 428-4497
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 22DI02571300 (NJ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DS038160 (PA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 22DI02571301 (NJ)

Record details

NPI number1528371507
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESOctober 30, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Oral And Maxillofacial Surgical Associates — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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