Jack Paul Minnillo, D.D.S.

Dentist · Delaware, OH

Individual Active NPI

NPI number 1528414398

Practice location

1012 State Route 521 Ste 202
Delaware, OH 43015-8003
Phone
(740) 417-9565
Fax
(614) 443-8335

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NPI record

NPI
1528414398
Entity type
Individual (Type 1)
Enumeration date
May 10, 2016
Last updated
June 29, 2022
Certified
June 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30.24727 OH

Other practice locations (1)

  • 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 · (740) 965-2451

About Dr. Minnillo

Jack Paul Minnillo, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1012 State Route 521 Ste 202, Delaware, OH 43015-8003. The NPI number 1528414398 was assigned on May 10, 2016 and the record was last updated on June 29, 2022.

Dr. Minnillo lists a license in the registry: #30.24727 (OH) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Paul Minnillo, D.D.S.?

The NPI number is 1528414398.

What is the phone number of Dr. Minnillo?

The phone number listed for the practice location is (740) 417-9565.

Where is Dr. Minnillo located?

1012 State Route 521 Ste 202, Delaware, OH 43015-8003.

What is the taxonomy code for Dr. Minnillo?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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