DR. JORDAN TAYLOR GABRIELE DDS
NPI 1609434570
Oral & Maxillofacial Surgery in Urbana, IL

Q: What is Jordan Gabriele's NPI number?

The NPI number for Jordan Gabriele is 1609434570. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Jordan Gabriele's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Gabriele was last updated on June 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2019PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(173) 833-3112 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2021, Jun 5, 2019 (2 updates tracked since 2019).

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About Dr. Jordan Taylor Gabriele Dds NPPES

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

DR. JORDAN TAYLOR GABRIELE DDS (NPI 1609434570) is an individual oral & maxillofacial surgery provider in Urbana, Illinois, licensed in Illinois (018.002180) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1609434570

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. JORDAN TAYLOR GABRIELECredential: DDS

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address1001 S George StYork, PA 17403-3676 · (717) 851-2655

Phone(173) 833-3112

Sole ProprietorNo

Enumeration DateJune 5, 2019

Last NPPES UpdateJune 14, 20212 updates tracked since enumeration

NPPES CertifiedJune 14, 2021

✔ NPI 1609434570 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 IL · 018.002180

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

611 W PARK ST, Urbana, IL 61801

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Secondary Practice Location 1

Location 11001 S George StYork, PA 17403-3676 · Phone (717) 851-2655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Taylor Gabriele Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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