Individual
DR. JILLIAN DETTLOFF SEGLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
DENTAC FORT BRAGG, 2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020632
MI
1223P0221X
Pediatric Dentistry
117
OK
1223P0221X
Pediatric Dentistry
Primary
34968
TX
Other
Enumeration date
08/13/2012
Last updated
04/29/2026
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