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Dr. Maxwell L Gilliam, DDS
General Practice Dentistry in Jacksonville, North Carolina
NPI 1407056153

Maxwell L Gilliam is a General Practice Dentistry based in Jacksonville, NC and is specialized in General Practice. Maxwell L Gilliam practices in Jacksonville, NC and has the professional credentials of DDS. The NPI Number for Maxwell L Gilliam is 1407056153 and holds a License No. 5688 (North Carolina).

The current practice location address for Maxwell L Gilliam is 2 Office Park Dr, Jacksonville, NC and can be reached out via phone at 910-577-5077 and via fax at 910-577-1907.

Location: 2 Office Park Dr, Jacksonville, NC, 28546-7325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407056153
Provider Name
Maxwell L Gilliam
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2 Office Park Dr, Jacksonville, NC, 28546-7325
Phone Number
910-577-5077
Fax Number
910-577-1907
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
063744 01 NC UNITED CONCORDIA
8993182 05 NC
014CY 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
2 Office Park Dr
City
Jacksonville
State
North Carolina
Zip
28546-7325
Phone Number
910-577-5077
Fax Number
910-577-1907
person
Provider Business Mailing Address Details
Address
2 Office Park Dr
City
Jacksonville
State
North Carolina
Zip
28546-7325
Phone Number
910-577-5077
Fax Number
910-577-1907
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5688 (North Carolina)
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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