Individual provider · Type 1 NPI
Matthew Ryan Gillham, DDS
Pediatric Dentistry · Temple, TX
NPI number
1790896512
Active
Practice location
2122 Birdcreek Dr
Temple, TX 76502-1034
Mailing address
PO Box 170729
Austin, TX 78717-0034
Other practice locations
- 1121 Lake Air Dr, Waco, TX 76710-4417 · (254) 772-8330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 23162 (TX) |
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
Other pediatric dentistry providers in Temple
About NPI 1790896512
Matthew Ryan Gillham, DDS's National Provider Identifier is 1790896512, issued on Aug 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Temple, TX. The record was last updated on Sep 8, 2026.