Jack D Castilla Llc in Columbus - Dentist
Jack D Castilla Llc - NPI 1619086717
Jack D Castilla Llc is a Dentist in Columbus, Ohio. Jack D Castilla Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack D Castilla Llc is 1619086717. The last update date is 2013-02-15.
Jack D Castilla Llc's current location address is 1206 W Broad St, Columbus, Ohio. You can contact this provider via phone number 6142799204 and fax number 6142799208. The mailing address for Jack D Castilla Llc is 1206 W Broad St, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack D Castilla Llc |
|---|---|
| Address | 1206 W Broad St, Columbus, Ohio |
| Phone Number | 6142799204 |
| Fax Number | 6142799208 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Castilla D Jack |
| Credentials | DDS |
| Telephone Number | 6142799204 |
NPI Number Detail
| NPI Number | 1619086717 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2013-02-15 |
Provider Mailing Address Detail
| Address | 1206 W Broad St |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 43222 |
| Phone Number | 6142799204 |
| Fax Number | 6142799208 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30016727 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9180566 | OH | MOLINA HEALTH | |
| 2210039 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack D Castilla Llc by the Centers for Medicare & Medicaid Services?
The Jack D Castilla Llc has been issued the NPI (National Provider Identifier) 1619086717. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack D Castilla Llc?
The Jack D Castilla Llc is situated at 1206 W Broad St, in the city of Columbus, state of OH, with the zip code 43222.
What is the area of specialization for Jack D Castilla Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack D Castilla Llc is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Jack D Castilla Llc receive its 1619086717 assignment from the Centers for Medicare & Medicaid Services?
The Jack D Castilla Llc was assigned its 1619086717 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Jack D Castilla Llc last refreshed?
The information related to the Jack D Castilla Llc, including its address, specialty, and other relevant details, was last updated on 2013-02-15.
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