MEDICARE: DR. DANIELLE LEIGH DILLON DDS

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	1223G0001X	General Practice Dentistry	4726	WV

General Provider Information

NPI Number	:	1396563789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE LEIGH DILLON DDS

Provider Business Mailing Address
First Line	:	8106 SYCAMORE AVE
Second Line	:
City	:	HAMLIN
State	:	WV
Zip	:	25523-1530
Country	:	US
Telephone Number	:	304-824-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 CHILDRESS RD APT 2
Second Line	:
City	:	ALUM CREEK
State	:	WV
Zip	:	25003-9546
Country	:	US
Telephone Number	:	304-756-9464
Fax Number	:

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

Provider Enumeration Date	:	10/02/2024
Last Update Date	:	04/20/2026

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