Individual
DR. THOMAS JAMES GILLCRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8749
Mailing address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11365
TN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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