Decillis, Daniel Jordan

Decillis, Daniel Jordan is an individual health care provider with primary practice located at 1144 Iowa St Ste A , Ashland OR 97520. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Decillis, Daniel Jordan can be contacted via phone (541) 482-4995.

Contact Information

Primary practice address
1144 Iowa St Ste A Ashland OR 97520
Phone: (541) 482-4995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11005 Oregon

Profile Details

NPI number 1326545625
LBN Legal business name Decillis, Daniel Jordan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Jul 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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