Dr. Connie Bruce Gilliam
D.D.S. | Pediatric Dentist
2 Office Park Dr, Jacksonville
North Carolina, 28546-7325
910-577-5077 910-577-1907
Maps & DirectionsDr. Connie Bruce Gilliam is a Jacksonville, North Carolina based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Connie Bruce Gilliam is
6034 for Pediatric Dentistry in North Carolina. Her current practice location is
2 Office Park Dr, Jacksonville. Patients can reach her at
910-577-5077.
Dr. Connie Bruce Gilliam provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Connie Bruce Gilliam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Connie Bruce Gilliam |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2 Office Park Dr, Jacksonville,
North Carolina, 28546-7325 |
| Phone: | 910-577-5077 |
| Fax: | 910-577-1907 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548460298 |
| NPI Enumeration Date: | 20 Jul, 2007 |
| NPI Last Update On: | 31 Oct, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Connie Bruce Gilliam are as mentioned below.
| License Number | Specialization | State | Status | |
| 6034 | Pediatric Dentistry | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Connie Bruce Gilliam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 060913 | Other | North Carolina | UNITED CONCORDIA |
| 8993221 | Medicaid | North Carolina | |
| 014CY | Other | North Carolina | BCBS |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2 Office Park Dr,
Jacksonville, North Carolina |
| Zip: | 28546-7325 |
| Phone Number: | 910-577-5077 |
| Fax Number: | 910-577-1907 |
Patients can reach Dr. Connie Bruce Gilliam at
2 Office Park Dr, Jacksonville, North Carolina or can
call to book an appointment on 910-577-5077.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.