Dr Jordan Cimilluca, DDS is a
Oral & Maxillofacial Surgery based in Bremerton, Washington. Dr Jordan Cimilluca is licensed to practice in Washington (license number 70128025) and his current practice location is
Uss Ronald Reagan (cvn 76), Naval Base Kitsap Bremerton, Bremerton, Washington. He can be reached at his office (for appointments etc.) via phone at
(770) 561-0048.
NPI number for Dr Jordan Cimilluca is 1043967342 and his current mailing address is 3518 Fremont Ave N, Pmb #351, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043967342.
Healthcare Provider's Profile
| Full Name | Dr Jordan Cimilluca |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | Uss Ronald Reagan (cvn 76), Bremerton, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043967342
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 08/17/2026
Medical Identifiers
Medical identifiers for Dr Jordan Cimilluca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043967342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 70128025 (Washington) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 70128025 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Cimilluca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jordan Cimilluca, DDS 3518 Fremont Ave N, Pmb #351, Seattle, WA 98103-8814 Ph: Not Available | Dr Jordan Cimilluca, DDS Uss Ronald Reagan (cvn 76), Naval Base Kitsap Bremerton, Bremerton, WA 98314-0001 Ph: (770) 561-0048 |
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