Doylestown Dental Associates Dr Jacko and Dr Siefker DDS LLC

Organization Active NPI General Practice Dentistry · Doylestown, OH

NPI 1497086052 · NPPES record last updated Jan 21, 2010

Key facts

NPI
1497086052
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
30021302 (OH)
Legal business name
DOYLESTOWN DENTAL ASSOCIATES DR JACKO AND DR SIEFKER DDS LLC
Practice address
25 N Portage St
Doylestown, OH 44230-1349
Phone
(330) 658-6983
Fax
(330) 658-6883
NPI assigned
Jan 21, 2010
Organization subpart
No

Authorized official

Name
Dr. Maryann Jacko, DDS
Title
Owner
Phone
(330) 658-6983

National Provider Directory

Locations

25 N Portage St
Doylestown, OH 44230
Phone (330) 658-6893

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 30021302 OH Yes

Addresses

Primary practice location

25 N Portage St
Doylestown, OH 44230-1349

Mailing address

25 N Portage St
Doylestown, OH 44230-1349
Phone (330) 658-6983

Other providers in Doylestown, OH

All providers in Doylestown, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.