Individual provider · Type 1 NPI
Joe William Gilmore, DDS
Pediatric Dentistry · Ruston, LA
NPI number
1124133954
Active
Practice location
206 East Vaughn Ave
Ruston, LA 71270
Fax (318) 255-7696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2534 (LA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1124133954
Joe William Gilmore, DDS's National Provider Identifier is 1124133954, issued on Aug 20, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ruston, LA. The record was last updated on Jul 8, 2007.