NPIMap

Organization Active NPI

Dillon & Dillon Dentistry II, Inc.

  • Dental Clinic/Center
  • Hamlin, WV
National Provider Identifier
1982232062
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DILLON & DILLON DENTISTRY II, INC.
Practice address
8106 Sycamore Ave
Hamlin, WV 25523-1530
Phone
(304) 824-3035
Fax
(304) 824-2280
NPI assigned
Apr 1, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Dr. Jordan Christopher Dillon, DDSNPI 1033776042
Title
President
Phone
(304) 824-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8106 Sycamore Ave
Hamlin, WV 25523-1530

Mailing address

8106 Sycamore Ave
Hamlin, WV 25523-1530
Phone (304) 824-3035

Other practice location 1

2150 Childress Rd
Alum Creek, WV 25003-9546
Phone (304) 756-9464

Other identifiers 1

IdentifierTypeStateIssuer
1033776042MedicaidWV

National Provider Directory

National Provider Directory

Locations

8106 Sycamore Ave
Hamlin, WV 25523
Phone (304) 824-3035

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1982232062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 SYCAMORE AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231530",
            "telephone_number": "304-824-3035",
            "fax_number": "304-824-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 SYCAMORE AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231530",
            "telephone_number": "304-824-3035",
            "fax_number": "304-824-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Childress Rd",
            "address_purpose": "LOCATION",
            "city": "Alum Creek",
            "state": "WV",
            "postal_code": "250039546",
            "country_code": "US",
            "telephone_number": "304-756-9464",
            "fax_number": "304-824-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DILLON & DILLON DENTISTRY II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-824-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033776042",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.