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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JORDAN CIMILLUCA DDS
NPI 1043967342
Oral & Maxillofacial Surgery in Bremerton, WA

Active since March 07, 2022
USS RONALD REAGAN (CVN 76), NAVAL BASE KITSAP BREMERTON, BREMERTON, WA 98314(770) 561-0048 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Aug 21, 2023, Mar 7, 2022 (3 updates tracked since 2022).

About Dr. Jordan Cimilluca Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN CIMILLUCA DDS (NPI 1043967342) is an individual oral & maxillofacial surgery provider in Bremerton, Washington, licensed in Colorado (00205129) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1043967342
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JORDAN CIMILLUCACredential: DDS
Location AddressUSS RONALD REAGAN (CVN 76), NAVAL BASE KITSAP BREMERTONBremerton, WA 98314-0001
Mailing Address40956 River Cane PlAldie, VA 20105-3180
Phone(770) 561-0048
Sole ProprietorNo
Enumeration DateMarch 7, 2022
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1043967342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CO · 00205129
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 00205129 (CO)
USS RONALD REAGAN (CVN 76), Bremerton, WA 98314
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Cimilluca's NPI number?

The NPI number for Jordan Cimilluca is 1043967342. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Jordan Cimilluca located?

Jordan Cimilluca practices at Uss Ronald Reagan (cvn 76) Naval Base Kitsap Bremerton, Bremerton, WA 98314. The listed phone number is (770) 561-0048.

What is Jordan Cimilluca's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Jordan Cimilluca was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.