Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILLIAN DETTLOFF SEGLEM, DDS
ActiveDR. JILLIAN DETTLOFF SEGLEM, DDS is a Pediatric Dentistry healthcare provider located in FORT SILL, Oklahoma. NPI 1801143581 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT SILL, OK
Registration Details
- NPI Number
- 1801143581
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2012 (14.031031538051 yrs)
- Last Updated
- Feb 1, 2021
- Licenses
-
2901020632 (MI)117 (OK)34968 (TX)
Practice Information
- Address
-
DENTAC FORT SILL605 RANDOLPH RD.FORT SILL, OK, 73505Browse OK providers · Browse ZIP 73505
- Phone
- 5804423146
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.