Organization · Type 2 NPI

Gilliam & Gilliam PLLC

Pediatric Dentistry · Jacksonville, NC

NPI number 1174635882 Active

Practice location

2 Office Park Dr
Jacksonville, NC 28546

Fax (910) 577-1907

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X5688 (NC)
Pediatric Dentistry Primary 1223P0221X6034 (NC)

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.

2 other providers at this address

About NPI 1174635882

Gilliam & Gilliam PLLC's National Provider Identifier is 1174635882, issued on Aug 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jacksonville, NC. The record was last updated on Sep 11, 2025.