Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES ROBERT GILLAM, DMD
Active Sole ProprietorDR. CHARLES ROBERT GILLAM, DMD is a Dentist healthcare provider located in ORANGE PARK, Florida. NPI 1184768475 is currently active in the NPPES registry. Verify at CMS.
Dentist · ORANGE PARK, FL
Registration Details
- NPI Number
- 1184768475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2007 (19.461351527567 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN16724 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1695 WELLS RDORANGE PARK, FL, 320736208Browse FL providers · Browse ZIP 32073
- Phone
- 9042697004
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ORANGE PARK, FL
| Name | Credential | NPI |
|---|---|---|
| GREGORY A ARCHAMBAULT | DMD | 1669453759 |
| MICHAEL RALPH MOORE | DDS | 1184643082 |
| DR. MICHAEL THOMAS MCCLURE | DMD | 1790795086 |
| MR. ROLAND ADRIEN FEDERICO | DDS | 1659474021 |
| PATRICK S SIMPSON | DDS | 1508945734 |
| DR. MIGUEL A ARIAS | DMD | 1790850154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.