Individual
DR. JEFFREY CLAY GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1050 S PEORIA ST, AURORA, CO 80012-3464
(303) 367-2273
(303) 367-5385
Mailing address
18809 E PROGRESS PL, CENTENNIAL, CO 80015-4893
(303) 400-3587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7977
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09177353
—
CO
Enumeration date
06/30/2006
Last updated
07/08/2007
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