Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841529336 Individual Practitioner Male Practitioner

Dr. Jack Daniel Castilla , DDS

Dentist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jack Castilla, DDS is a registered healthcare professional specializing in Dentist in Columbus, OH. Practice services are available at 1206 W BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1206 W Broad St

Columbus, OH 432221319

Telephone 6142799204
Fax 6142799208
Associated Practice Facility / Clinic
🏢 Mid Ohio Dental Associates Facility NPI 1619086717

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
317 Specialists

Practicing in Columbus, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 30016727

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2210039 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tayamarie Jordan

Community Health Worker

NPI 1023690047
Jorge Rodriguez-Torres

Community Health Worker

NPI 1023785524
Skye Work , MSN, APRN-CNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043811540

Master of Science in Nursing, Advanced Practice Registered Nurse - Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner

Rene Casey

Community Health Worker

NPI 1124728282
Deja Turner

Community Health Worker

NPI 1124774492
Chelsea Moore

Community Health Worker

NPI 1205418837

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2013

Registered at 1206 W BROAD ST, COLUMBUS, OH 432221319 (Tel: 6142799204)

📍
Updated Business Mailing Address July 18, 2013

Registered at 1206 W BROAD ST, COLUMBUS, OH 432221319 (Tel: 6142799204)

👤
Provider Name / Credentials Updated July 18, 2013

Recorded as JACK CASTILLA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Dentist (License #30016727 in OH)

🟢
Initial NPI Registration & Enumeration December 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841529336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2009
Last Update: July 18, 2013
Sole Proprietor: Yes

Mailing Address

1206 W Broad St

Columbus, OH 432221319

Phone: 6142799204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.