Healthcare Provider Details

I. General information

NPI: 1710818471
Provider Name (Legal Business Name): JOSELYNN CASTILLO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 4TH ST NW
SIOUX CENTER IA
51250-1870
US

IV. Provider business mailing address

3 S 660 W
BLACKFOOT ID
83221-6120
US

V. Phone/Fax

Practice location:
  • Phone: 712-722-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS-10465
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: