Individual
DR. ALEXIS MARTHAJANE HALLISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1264 NEXTON PKWY STE 202, SUMMERVILLE, SC 29486-2167
(854) 237-0876
Mailing address
23 WALKER ST, KITTERY, ME 03904-1728
(207) 439-2310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4412
ME
1223G0001X
General Practice Dentistry
03858
NH
1223G0001X
General Practice Dentistry
Primary
9840
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30309908
—
NH
Enumeration date
06/30/2010
Last updated
04/15/2025
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