Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.