Individual
DR. JOHN CHARLES GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
68 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 583-4800
(601) 584-7769
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-0231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1363-69
MS
Other
Enumeration date
01/09/2006
Last updated
02/06/2020
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