Gabriele, Jordan Taylor

Gabriele, Jordan Taylor is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Gabriele, Jordan Taylor can be contacted via phone (173) 833-3112.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (173) 833-3112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 018.002180 Illinois

Profile Details

NPI number 1609434570
LBN Legal business name Gabriele, Jordan Taylor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jun 14th, 2021 - about 4 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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