# JACKO & SIEFKER DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellington Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245858083
- **Authorized official:** DR. JONATHAN R SIEFKER DDS (CEO)
- **Authorized official phone:** (440) 647-2752

## Contact information

- **Practice address:** 210 HERITAGE DR, WELLINGTON, OH 44090-8949
- **Practice address phone:** (440) 647-2752
- **Mailing address:** 210 HERITAGE DR, WELLINGTON, OH 44090-8949
- **Mailing address phone:** (440) 647-2752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2020
- **Last updated:** 07/08/2020