Provider Demographics
NPI:1881868719
Name:JEFFREY J. AHLERT, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:JEFFREY J. AHLERT, D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:AHLERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-331-0016
Mailing Address - Street 1:3614 SE KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2323
Mailing Address - Country:US
Mailing Address - Phone:918-331-0016
Mailing Address - Fax:
Practice Address - Street 1:3614 SE KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2323
Practice Address - Country:US
Practice Address - Phone:918-331-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty