DR. Jillian Dettloff Seglem, DDS

NPI #1801143581 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1801143581
Entity Type: Individual
Name: DR. Jillian Dettloff Seglem, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 13, 2012
Last Updated: Feb 1, 2021

Practice Location

Address: DENTAC FORT SILL
Address 2: 605 RANDOLPH RD.
City: Fort Sill
State: Oklahoma
ZIP Code: 73505
Phone: (580) 442-3146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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