Individual provider · Type 1 NPI

Charles Robert Gillam, DMD

Dentist · Orange Park, FL

NPI number 1184768475 Active

Practice location

1695 Wells Rd
Orange Park, FL 32073-6208

Mailing address

600 Sparrow Branch Cir
Jacksonville, FL 32259-5470

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN16724 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1184768475

Charles Robert Gillam, DMD's National Provider Identifier is 1184768475, issued on Feb 19, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Orange Park, FL. The record was last updated on Jul 8, 2007.