Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jordan Taylor Gabriele, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609434570

Dr. Jordan Taylor Gabriele, DDS is a Student in an Organized Health Care Education/Training Program in Urbana, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (173) 833-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 S George St, York, PA 17403-3676 — (717) 851-2655

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 018.002180 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609434570
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

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