Individual
DR. JARED MURPHY GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 W THOMAS RD STE 320, PHOENIX, AZ 85013-4415
(602) 933-1050
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011545
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158258
—
AZ
Enumeration date
05/29/2017
Last updated
02/08/2024
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