Provider Demographics
NPI:1437410727
Name:BRESLER, JILL JULIANNA (DMD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:JULIANNA
Last Name:BRESLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:JULIANNA
Other - Last Name:SETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:6801 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2446
Mailing Address - Country:US
Mailing Address - Phone:215-483-6633
Mailing Address - Fax:215-969-0215
Practice Address - Street 1:6801 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2446
Practice Address - Country:US
Practice Address - Phone:215-483-6633
Practice Address - Fax:215-969-0215
Is Sole Proprietor?:No
Enumeration Date:2012-06-03
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist