Individual
DR. JOHN C GILMORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1759 CREIGHTON RD, PENSACOLA, FL 32504-7145
(850) 476-4283
(850) 476-9709
Mailing address
1759 CREIGHTON RD, PENSACOLA, FL 32504-7145
(850) 476-4283
(850) 476-9709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15660
FL
1223G0001X
General Practice Dentistry
Primary
6371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789977
UNITED CONCORDIA PROVIDER
—
Enumeration date
06/28/2006
Last updated
06/16/2008
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