Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jordan Antonisse Castillo, DDS

Individual provider General Practice Dentistry · NPI 1104208172

Mrs. Jordan Antonisse Castillo, DDS is a General Practice Dentistry in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2015
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

8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 552-7267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2017000011 (MO)

Record details

NPI number1104208172
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 25, 2015
Last updated in NPPESJuly 21, 2022
Certification dateApril 30, 2020

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