Maxwell L Gilliam in Jacksonville - General Practice
Maxwell L Gilliam - NPI 1407056153
Maxwell L Gilliam is a General Practice in Jacksonville, North Carolina. Maxwell L Gilliam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Maxwell L Gilliam is 1407056153. The last update date is 2007-07-20.
Maxwell L Gilliam's current location address is 2 Office Park Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9105775077 and fax number 9105771907. The mailing address for Maxwell L Gilliam is 2 Office Park Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxwell L Gilliam |
|---|---|
| Address | 2 Office Park Dr, Jacksonville, North Carolina |
| Phone Number | 9105775077 |
| Fax Number | 9105771907 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1407056153 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 2 Office Park Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285467325 |
| Phone Number | 9105775077 |
| Fax Number | 9105771907 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5688 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63744 | NC | UNITED CONCORDIA | |
| 8993182 | NC | -- | |
| 014CY | NC | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maxwell L Gilliam by the Centers for Medicare & Medicaid Services?
The Maxwell L Gilliam has been issued the NPI (National Provider Identifier) 1407056153, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Maxwell L Gilliam is located?
The Maxwell L Gilliam is situated at the following address: 2 Office Park Dr, Jacksonville, NC, 285467325.
What is Maxwell L Gilliam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maxwell L Gilliam's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did the Maxwell L Gilliam receive its 1407056153?
The Maxwell L Gilliam was issued its 1407056153 on 2007-07-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Maxwell L Gilliam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maxwell L Gilliam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-20.