Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT LESLIE GILLILAND, D.D.S.
ActiveDR. BRENT LESLIE GILLILAND, D.D.S. is a General Dentistry healthcare provider located in RANDOLPH AFB, Texas. NPI 1902890676 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RANDOLPH AFB, TX
Registration Details
- NPI Number
- 1902890676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2005 (20.751673950199 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13335 (TX)
Practice Information
- Address
-
12TH AEROMEDICAL-DENTAL SQUADRON221 3RD STREET WESTRANDOLPH AFB, TX, 781504801Browse TX providers · Browse ZIP 78150
- Phone
- 2106521846
- Fax
- 2106521368
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in RANDOLPH AFB, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JAY M ROSSELL | DMD | 1982691267 |
| DR. RONNY MICHAEL SIMMONS | DDS | 1629034277 |
| DR. JOHN CHRISTIAN DAVIS | D.D.S. | 1801018429 |
| DR. KEMAL FEROZE BAKSH | DDS | 1457937229 |
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.