Individual
DR. JEFFREY MICHAEL SHIRCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
196 E BROAD ST, PATASKALA, OH 43062-8527
(614) 354-3629
Mailing address
326 BENEDETTI AVE, COLUMBUS, OH 43213-4429
(614) 354-3629
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-022759
OH
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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