Organization
GILLIAM & GILLIAM PLLC
Active
Other names
Gilliam Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA MARIA JOHNSON (OFFICE MANAGER)
(910) 577-5077
Entity
Organization
Contact information
Practice address
2 OFFICE PARK DR, JACKSONVILLE, NC 28546
(910) 577-5077
(910) 577-1907
Mailing address
2 OFFICE PARK DR, JACKSONVILLE, NC 28546
(910) 577-5077
(910) 577-1907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5688
NC
1223P0221X
Pediatric Dentistry
Primary
6034
NC
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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