Dillons Dental Services LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DILLONS DENTAL SERVICES LLC

Doing business as

Dillon Dental Services LTD

Practice address

2000 E 159TH St
Calumet City, IL 60409

Phone

(708) 862-1800

Fax

(708) 862-1800

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry Wayne Dillon, DDS PHDNPI 1811156839

Title

Ceo

Phone

(708) 862-1800

Specialties & licenses 1

Addresses

Other names 1

• Dillon Dental Services LTD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Wayne Dillon, D.D.S., M.S., PH.D.

  • General Practice Dentistry
  • Calumet City, IL
  • NPI 1811156839
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205978863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-862-1800",
            "fax_number": "708-862-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 159TH ST",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "60409",
            "telephone_number": "708-862-1800",
            "fax_number": "708-862-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLONS DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-862-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PHD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dillon Dental Services LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laconyer Davis, MACC, LPC, NCC, CADC
• Julie Dianne De Luna
• Andria Deberry
• Lezley Gianna Diaz, PHARMD
• Jerry Wayne Dillon, D.D.S., M.S., PH.D.
• Distinctive Voice Therapy & Wellness PLLC
• Divine Medical Equipment Supply Company (Divine Transit Inc)
• Divine Medical Equipment Supply Company (Divine Home Care Services)
• Divine Medical Equipment Supply Company
• Divine Medical Equipment Supply Company (Divine Home Care Services)

• Dentist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.