Individual provider · Type 1 NPI
Jordan Antonisse Castillo, DDS
General Practice Dentistry · Omaha, NE
NPI number
1104208172
Active
Practice location
8200 Dodge St
Omaha, NE 68114-4113
Mailing address
4508 NE 85th St
Kansas City, MO 64156-7802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2017000011 (MO) |
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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Other general practice dentistry providers in Omaha
- Mark Thomas Chase, DDSGeneral Practice Dentistry Omaha, NE NPI 1003026782
- Kajal DesaiGeneral Practice Dentistry Omaha, NE NPI 1003506346
- Will Argana, DDSGeneral Practice Dentistry Omaha, NE NPI 1003555038
- Peter Roy Straub, DDSGeneral Practice Dentistry Omaha, NE NPI 1003855602
- Phillip Tracy Brigden, DDSGeneral Practice Dentistry Omaha, NE NPI 1013297332
- Chelsea E. Wiggins, DDSGeneral Practice Dentistry Omaha, NE NPI 1013359553
- Hal T. Ritchie, DDSGeneral Practice Dentistry Omaha, NE NPI 1013991231
- Kenneth E. Henley, DDSGeneral Practice Dentistry Omaha, NE NPI 1023006236
About NPI 1104208172
Jordan Antonisse Castillo, DDS's National Provider Identifier is 1104208172, issued on Jun 25, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Omaha, NE. The record was last updated on Jul 21, 2022.