Jeffrey Clay Gilliam in Centennial - General Practice

Jeffrey Clay Gilliam - NPI 1932137551

Jeffrey Clay Gilliam is a General Practice in Centennial, Colorado. Jeffrey Clay Gilliam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Clay Gilliam is 1932137551. The last update date is 2007-07-08.

Jeffrey Clay Gilliam's current location address is 18809 E Progress Pl, Centennial, Colorado. You can contact this provider via phone number 3034003587. The mailing address for Jeffrey Clay Gilliam is 18809 E Progress Pl, Centennial, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Clay Gilliam
Address 18809 E Progress Pl, Centennial, Colorado
Phone Number 3034003587
Fax Number
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1932137551
Provider Enumeration Date 2006-06-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 18809 E Progress Pl
City Centennial
State Colorado (CO)
Post Code 800154893
Phone Number 3034003587
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7977
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9177353 CO --

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FAQs about Jeffrey Clay Gilliam

What is the unique provider identifier assigned to Jeffrey Clay Gilliam?

The Jeffrey Clay Gilliam has been issued the NPI (National Provider Identifier) 1932137551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jeffrey Clay Gilliam?

The Jeffrey Clay Gilliam is situated at 18809 E Progress Pl, in the city of Centennial, state of CO, with the zip code 800154893.

What is Jeffrey Clay Gilliam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jeffrey Clay Gilliam's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Jeffrey Clay Gilliam receive the assignment of its 1932137551 from the Centers for Medicare & Medicaid Services?

The Jeffrey Clay Gilliam was issued its 1932137551 by the Centers for Medicare & Medicaid Services on 2006-06-30.

As of what date were the details related to Jeffrey Clay Gilliam most recently updated or revised?

The information pertaining to Jeffrey Clay Gilliam, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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