DR. DANIEL JORDAN DECILLIS (NPI# 1326545625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326545625 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JORDAN DECILLIS |
| Credential | DDS |
| Practice Address |
1144 Iowa St Ste A Ashland OR 97520 |
| Mailing Address |
1144 Iowa St Ste A Ashland OR 97520-2385 |
| Practice Telephone | 5414824995 |
| Mailing Telephone | 5414824995 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2019-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11005 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4915 25th Ave Ne Ste 205, Seattle, WA 981055668 | 2065241600 |
| Street Address |
1144 IOWA ST STE A |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428954 | Daniel J. Decillis, Dds, LLC | Clinic/Center | 1144 Iowa St Ste A, Ashland, OR 97520-2385 | 2019-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| 1194194050 | Collins Inc. | Acupuncturist | 325 A. Street, Suite 1, Ashland, OR 97520 | 2015-09-22 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517339 | Third Street Community Clinic, Inc. | Dentist | 431 E 9th St, Ashland, OH 44805-1903 | 2020-01-23 |
| 1558991778 | Ashland Elite Dental Pllc | Dentist | 171 Main St Ste 100, Ashland, MA 01721-1190 | 2020-01-16 |
| 1760936231 | Smf1 Pllc | Dentist | 39 Pond St, Ashland, MA 01721-2054 | 2016-08-12 |
| 1871933853 | Robert Keith Bundy | Dentist | 155 N 24th St, Ashland, NE 68003-1504 | 2013-07-05 |
| 1821361940 | Charles E. Montague,iii,d.m.d.,p.s.c. | Dentist | 1330 Central Ave, Ashland, KY 41101-7550 | 2012-02-21 |
| 1538399829 | John C. Smith Jr. | Dentist | 116 N Railroad Ave, Ashland, VA 23005-1524 | 2009-07-21 |
| 1467602698 | Armond Enos Jr | Dentist | 300 Eliot Street, Ashland, MA 01721 | 2008-09-24 |
| 1124281092 | Jared R Anderson | Dentist | 325 A Street, Suite 2, Ashland, OR 97520 | 2008-07-09 |
| 1013186998 | Thomas Maxwell Haley | Dentist | 214 England St, Ashland, VA 23005-2075 | 2008-02-26 |
| 1417149360 | Charles F Wortham | Dentist | 10364 Leadbetter Rd, Ashland, VA 23005-3420 | 2007-08-14 |
| Find all providers in ASHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.