| Jacko & Siefker Dds, Llc | |
|
210 Heritage Dr Wellington OH 44090-8949 | |
| (440) 647-2752 | |
| Not Available |
| Full Name | Jacko & Siefker Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 210 Heritage Dr, Wellington, Ohio |
| Authorized Official Name and Position | Jonathan R Siefker (CEO) |
| Authorized Official Contact | 4406472752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacko & Siefker Dds, Llc 210 Heritage Dr Wellington OH 44090-8949 Ph: (440) 647-2752 | Jacko & Siefker Dds, Llc 210 Heritage Dr Wellington OH 44090-8949 Ph: (440) 647-2752 |
| NPI Number | 1245858083 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245858083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |