Provider Demographics
NPI:1871500256
Name:SCOTT-WALENJUS, ALLISON MARGRETHE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARGRETHE
Last Name:SCOTT-WALENJUS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:147 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3628
Mailing Address - Country:US
Mailing Address - Phone:732-528-1900
Mailing Address - Fax:732-223-5566
Practice Address - Street 1:147 UNION AVE
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3628
Practice Address - Country:US
Practice Address - Phone:732-528-1900
Practice Address - Fax:732-223-5566
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 204231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics