JACKO & SIEFKER DDS, LLC (NPI# 1245858083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245858083 |
| Entity Type | Organization |
| Organization Name | JACKO & SIEFKER DDS, LLC |
| Practice Address |
210 Heritage Dr Wellington OH 44090-8949 |
| Practice Telephone | 4406472752 |
| Mailing Telephone | 4406472752 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | DR. JONATHAN R SIEFKER (CEO) |
| Authorized Official Telephone | 4406472752 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wellington Dental | Doing Business As Name - Organization |
| Street Address |
210 HERITAGE DR |
| City | WELLINGTON |
| State | OH |
| Zip Code | 44090-8949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052567 | Kelly Lynne Keith | Registered Nurse | 121 W Herrick Ave, Wellington, OH 44090 | 2017-06-08 |
| 1104214964 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 101 Weber Court, Wellington, OH 44090 | 2015-01-02 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| 1790943538 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 103-110 Weber Ct, Wellington, OH 44090 | 2008-05-29 |
| 1144488099 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 101 Weber Ct, Wellington, OH 44090 | 2008-05-28 |
| 1942407937 | Stephanie L Conrad | Physical Therapist | 110 Herrick Ave. West, Suite B, Wellington, OH 44090 | 2007-07-02 |
| 1033210935 | Laura Jean Pall Devengencie | Dentist | 406 West Herrick Avenue, Wellington, OH 44090 | 2006-09-26 |
| 1518565100 | Merle Perry Simmons | Homemaker | 345 Prospect St, Wellington, OH 44090 | 2020-10-15 |
| 1518993864 | Discount Drug Mart Inc | Pharmacy | 814 N Main St, Wellington, OH 44090-1000 | 2006-06-25 |
| 1336465418 | Lori Renee Waite | Licensed Practical Nurse | 214 Jones St, Wellington, OH 44090-1025 | 2010-04-14 |
| Find all providers in zip 44090 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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|---|---|---|---|---|
| 1104270701 | Bland Oral Surgery Wellington | Clinic/Center | 3319 State Road 7 Ste 211, Wellington, FL 33449-8092 | 2016-04-20 |
| 1487214607 | Kapoor and Ravi Dmd LLC | Clinic/Center | 12300 S Shore Blvd Ste 208, Wellington, FL 33414-6509 | 2019-06-19 |
| 1710373568 | David J Pringle, Dmd Pllc | Clinic/Center | 7901 6th St, Wellington, CO 80549-1516 | 2015-04-08 |
| 1558775155 | Starr Family Dentistry, Pa | Clinic/Center | 1200 Corporate Center Way, Suite 103, Wellington, FL 33414-8599 | 2014-06-12 |
| 1053732735 | Advanced Endodontics | Clinic/Center | 3319 State Road 7, Suite 315, Wellington, FL 33449-8094 | 2013-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| 1376180562 | Cincinnati Dental Group LLC | Clinic/Center | 4605 E Galbraith Rd Ste 100, Cincinnati, OH 45236-2888 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 44090 |
Please comment or provide details below to improve the information on JACKO & SIEFKER DDS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.