Dillon, Jerry Wayne

Dillon, Jerry Wayne is an individual health care provider with primary practice located at 2000 River Oaks Dr , Calumet City IL 60409-5074. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is his primary health care specialty. Dillon, Jerry Wayne can be contacted via phone (708) 862-1800.

Contact Information

Primary practice address
2000 River Oaks Dr Calumet City IL 60409-5074
Phone: (708) 862-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019022622 Illinois
Dental Providers / General Practice 1223G0001X 2539-90 Mississippi
Dental Providers / Periodontics 1223P0300X 019022622 Illinois

Profile Details

NPI number 1811156839
LBN Legal business name Dillon, Jerry Wayne
Credentials D.D.S., M.S., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2008 - about 16 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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