Provider Demographics
NPI:1891383139
Name:GILTNER, JENNIFER QUIST (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:QUIST
Last Name:GILTNER
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:142 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-3126
Mailing Address - Country:US
Mailing Address - Phone:719-314-6955
Mailing Address - Fax:
Practice Address - Street 1:1915 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2104
Practice Address - Country:US
Practice Address - Phone:828-687-0872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC117021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics