Individual provider · Type 1 NPI

Jonathan Wade Gillesby, DDS

General Practice Dentistry · Dowagiac, MI

NPI number 1467567057 Active

Practice location

530 Riverside Drive
Dowagiac, MI 49047

Fax (269) 782-1126

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901017899 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1467567057

Jonathan Wade Gillesby, DDS's National Provider Identifier is 1467567057, issued on Aug 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dowagiac, MI. The record was last updated on Jul 8, 2007.