Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONNIE BRUCE GILLIAM, D.D.S.
ActiveDR. CONNIE BRUCE GILLIAM, D.D.S. is a Pediatric Dentistry healthcare provider located in JACKSONVILLE, North Carolina. NPI 1548460298 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1548460298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2007 (18.88037056376 yrs)
- Last Updated
- Oct 31, 2023
- License
-
6034 (NC)
Practice Information
- Address
-
2 OFFICE PARK DRJACKSONVILLE, NC, 285467325Browse NC providers · Browse ZIP 28546
- Phone
- 9105775077
- Fax
- 9105771907
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.