Provider Demographics
NPI:1871272559
Name:VORRIE, JILLIAN (DDS)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:VORRIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:JILLIAN
Other - Middle Name:
Other - Last Name:BELIEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1935 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5325
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1935 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5325
Practice Address - Country:US
Practice Address - Phone:319-362-1262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-10149122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist