Maxwell L Gilliam D.D.S.

NPI 1407056153 - Dentist - 1223G0001X

NPI Details
NPI 1407056153
Gender Male
Enumeration Date 07/20/2007
Last Updated 07/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2 OFFICE PARK DR
JACKSONVILLE NC, 28546-7325, US
Phone (910) 577-5077
Fax (910) 577-1907
Business Location
2 OFFICE PARK DR
JACKSONVILLE NC, 28546-7325, US
Phone (910) 577-5077
Fax (910) 577-1907
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 5688
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According to our database, Dr. Maxwell L Gilliam D.D.S. NPI is 1407056153, taxonomy code is 1223G0001X and license number is 5688, license state is located at North Carolina. Maxwell L Gilliam D.D.S. physically located at 2 Office Park Dr, Jacksonville NC, 28546-7325. NPI Number Maxwell L Gilliam D.D.S. has the Individual type.

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1407056153 NPI number is provided on an as is basis without warranty of any kind. 1407056153 is maintained by the National Plan & Provider Enumeration System. The contents of Maxwell L Gilliam D.D.S. are for informational purposes only.