MEDICARE: JILL LAURIE GARRIDO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	G1-0001350	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003109877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL LAURIE GARRIDO D.D.S.

Provider Business Mailing Address
First Line	:	2207 SILVERSIDE RD
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4501
Country	:	US
Telephone Number	:	717-575-8929
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 SILVERSIDE RD
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4501
Country	:	US
Telephone Number	:	302-475-3110
Fax Number	:	302-475-5206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2011
Last Update Date	:	06/03/2026

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