DR. PHILIP FREDERIC JIAMACHELLO D.D.S. NPI 1952477440

NPI Information

  • NPI: 1952477440
  • Provider Name: DR. PHILIP FREDERIC JIAMACHELLO, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 221 SIMPSON PARK RD
    SHELBY, NC
    ZIP 28150
  • Phone: (704) 484-3366

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NPI Details

DR. Philip Frederic Jiamachello, D.D.S. is a pediatric dentistry dentist in Shelby, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Philip Frederic Jiamachello, D.D.S. NPI is 1952477440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

221 SIMPSON PARK RD
SHELBY, NC
ZIP 28150-299
Phone: (704) 484-3366
Fax: (704) 484-3441

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry5556NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189994612MEDICAIDNORTH CAROLINA
2U28992MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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