Individual
DR. JEREMIAH GILGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5110 E WARNER RD STE 250, PHOENIX, AZ 85044-3371
(360) 867-8617
Mailing address
3714 E WINDSONG DR, PHOENIX, AZ 85048-7900
(360) 867-8617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11295
TN
122300000X
Dentist
38111
TX
122300000X
Dentist
Primary
D010987
AZ
122300000X
Dentist
DE61155866
WA
Other
Enumeration date
08/09/2020
Last updated
08/14/2024
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