Active NPIIndividual provider

Dr. Gary S Lillie, DMD

Dentist, General Practice in Riverton, New Jersey

NPI Number1952428278
Practice location
12 Broad St, Riverton, NJ 08077-1301
Fax
—
Last updated
July 8, 2007

Gary Steven Lillie is a Dentist, General Practice based in Riverton, NJ. Gary Steven Lillie practices in Riverton, NJ and has the professional credentials of DMD. The NPI Number for Gary Steven Lillie is 1952428278 and holds a License No. DI15124 (NJ). The current practice location address for Gary Steven Lillie is 12 Broad St, Riverton, NJ 08077-1301 and can be reached out via phone at 856-829-1598.

Provider Profile Details

NPI Number
1952428278
Provider Name
Gary Steven Lillie
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
12 Broad St, Riverton, NJ 08077-1301
Phone Number
856-829-1598
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Broad St
Riverton, NJ 08077-1301
Zip
08077-1301
Phone Number
856-829-1598
Riverton, NJ 08077Get directions →

Provider Business Mailing Address Details

Address
12 Broad St
Riverton, NJ 08077-1301
City
Riverton
State
NJ
Zip
08077-1301
Phone Number
856-829-1598

License Information

License Number
DI15124
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary S Lillie, DMD?

The NPI number of Dr. Gary S Lillie, DMD is 1952428278. It was assigned on March 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary S Lillie, DMD?

Dr. Gary S Lillie, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI15124.

Where does Dr. Gary S Lillie, DMD practice?

The practice location is 12 Broad St, Riverton, NJ 08077-1301. The office can be reached at 856-829-1598 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952428278 directly on the NPPES registry website.

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