Provider Demographics
NPI:1588150734
Name:JILL HELLMER AHLERS, DMD LLC
Entity type:Organization
Organization Name:JILL HELLMER AHLERS, DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-422-9766
Mailing Address - Street 1:888 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7420
Mailing Address - Country:US
Mailing Address - Phone:785-823-9106
Mailing Address - Fax:
Practice Address - Street 1:888 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-7420
Practice Address - Country:US
Practice Address - Phone:785-823-9106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61125261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1568620730OtherJILL H. AHLERS