| Chippewa Creek Dental-drs. Siefker And Jacko Dds, Llc | |
|
10 W Main St Seville OH 44273-8851 | |
| (330) 769-2918 | |
| (330) 769-2888 |
| Full Name | Chippewa Creek Dental-drs. Siefker And Jacko Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10 W Main St, Seville, Ohio |
| Authorized Official Name and Position | Jonathan R Siefker (CEO) |
| Authorized Official Contact | 3307692918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chippewa Creek Dental-drs. Siefker And Jacko Dds, Llc 10 W Main St Seville OH 44273-8851 Ph: (330) 769-2918 | Chippewa Creek Dental-drs. Siefker And Jacko Dds, Llc 10 W Main St Seville OH 44273-8851 Ph: (330) 769-2918 |
| NPI Number | 1932727773 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932727773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Chippewa Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Main St, Seville, OH 44273 Phone: 330-769-2918 |