Seglem, Jillian Dettloff

Seglem, Jillian Dettloff is an individual health care provider with primary practice located at Dentac Fort Sill 605 Randolph Rd., Fort Sill OK 73505. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Seglem, Jillian Dettloff can be contacted via phone (580) 442-3146.

Contact Information

Primary practice address
Dentac Fort Sill 605 Randolph Rd. Fort Sill OK 73505
Phone: (580) 442-3146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901020632 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X 117 Oklahoma
Dental Providers / Pediatric Dentistry 1223P0221X 34968 Texas

Profile Details

NPI number 1801143581
LBN Legal business name Seglem, Jillian Dettloff
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Feb 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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