Organization
GILILLAND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD GILILLAND D.M.D. (OWNER)
(662) 234-4822
Entity
Organization
Contact information
Practice address
2408 S LAMAR BLVD, STE 2, OXFORD, MS 38655-4012
(662) 234-4822
(662) 234-9032
Mailing address
PO BOX 1218, OXFORD, MS 38655-1218
(662) 234-4822
(662) 234-9032
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/27/2009
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