Individual provider · Type 1 NPI
John Malcolm Gillis, DMD
Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ
Practice location
1441 N 12th St Fl 23
Phoenix, AZ 85006-2837
Fax (602) 521-5151
Mailing address
1111 E Mcdowell Rd
Phoenix, AZ 85006-2612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6147 (AZ) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1083673610
John Malcolm Gillis, DMD's National Provider Identifier is 1083673610, issued on Mar 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 17, 2022.