# JAMES R GILL DDS MSD INC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** James R Gill DDS MSD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366552085
- **Authorized official:** JAMES R GILL DDS MSD (PRESIDENT)
- **Authorized official phone:** (812) 476-1377

## Contact information

- **Practice address:** 7244 E VIRGINIA STREET, EVANSVILLE, IN 47715-4068
- **Practice address phone:** (812) 476-1377
- **Practice address fax:** (812) 476-1288
- **Mailing address:** 7244 E VIRGINIA STREET, EVANSVILLE, IN 47715-4068
- **Mailing address phone:** (812) 476-1377
- **Mailing address fax:** (812) 476-1288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009709 | IN | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 163651 | CSHC | IN |