DR. JACK PAUL MINNILLO D.D.S.
NPI 1528414398
Dentist in Delaware, OH

Active since May 10, 2016
1012 STATE ROUTE 521 STE 202, DELAWARE, OH 43015(740) 417-9565(614) 443-8335 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Paul Minnillo D.d.s. NPPES

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

DR. JACK PAUL MINNILLO D.D.S. (NPI 1528414398) is an individual dentist in Delaware, Ohio, licensed in Ohio (30.24727) and active in the NPI registry since May 2016. He maintains a secondary practice location in Sunbury.

NPPES Registry Identity

NPI1528414398
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK PAUL MINNILLOCredential: D.D.S.
Location Address1012 STATE ROUTE 521 STE 202Delaware, OH 43015-8003
Mailing Address1012 State Route 521 Ste 202Delaware, OH 43015-8003 · (740) 417-9565
Fax(614) 443-8335
Sole ProprietorNo
Enumeration DateMay 10, 2016
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
NPI 1528414398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30.24727
Definition
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.
1012 STATE ROUTE 521 STE 202, Delaware, OH 43015

Secondary Practice Location 1

Location 1450 S Miller Dr Ste 200Sunbury, OH 43074-9024 · Phone (740) 965-2451

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1012 STATE ROUTE 521 STE 202
DELAWARE, OH 43015
Dentist
1012 STATE ROUTE 521 STE 202
DELAWARE, OH 43015
Clinic/Center (Dental)
1012 STATE ROUTE 521 STE 202
DELAWARE, OH 43015
Dentist
1012 STATE ROUTE 521 STE 202
DELAWARE, OH 43015

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 Jack Minnillo's NPI number?

The NPI number for Jack Minnillo is 1528414398. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Jack Minnillo located?

Jack Minnillo practices at 1012 State Route 521 Ste 202, Delaware, OH 43015. The listed phone number is (740) 417-9565.

What is Jack Minnillo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jack Minnillo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 8 other insurers list Jack Minnillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Minnillo was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.