Dr. Jack Daniel Castilla is a Columbus, Ohio based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack Daniel Castilla is 30016727 for Dentistry in Ohio. His current practice location is 1206 W Broad St, Columbus. Patients can reach him at 614-279-9204.
Dr. Jack Daniel Castilla is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jack Daniel Castilla speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jack Daniel Castilla
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1206 W Broad St, Columbus, Ohio, 43222-1319
Phone:
614-279-9204
Fax:
614-279-9208
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1841529336
NPI Enumeration Date:
14 Dec, 2009
NPI Last Update On:
18 Jul, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Daniel Castilla are as mentioned below.
License Number
Specialization
State
Status
30016727
Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack Daniel Castilla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2210039
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1206 W Broad St, Columbus, Ohio
Zip:
43222-1319
Phone Number:
614-279-9204
Fax Number:
614-279-9208
Patients can reach Dr. Jack Daniel Castilla at 1206 W Broad St, Columbus, Ohio or can call to book an appointment on 614-279-9204. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.