Healthcare Provider Details

I. General information

NPI: 1982043006
Provider Name (Legal Business Name): JILLIAN M DASHIELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 SUGARTREE RD
HOLLAND PA
18966-1834
US

IV. Provider business mailing address

531 SUGARTREE RD
HOLLAND PA
18966-1834
US

V. Phone/Fax

Practice location:
  • Phone: 215-593-4663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD460295
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT203728
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: