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GILLIAM & GILLIAM PLLC
NPI 1174635882
Dentist - Pediatric Dentistry in Jacksonville, NC

Active since August 31, 2006
2 OFFICE PARK DR, JACKSONVILLE, NC 28546(910) 577-5077(910) 577-1907 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Gilliam & Gilliam Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILLIAM & GILLIAM PLLC (NPI 1174635882), doing business as Gilliam Dentistry, is a healthcare organization registered as a pediatric dentistry in Jacksonville, North Carolina and active in the NPI registry since August 2006. The organization lists Anna Maria Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174635882
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGILLIAM & GILLIAM PLLC
Location Address2 OFFICE PARK DRJacksonville, NC 28546
Mailing Address2 Office Park DrJacksonville, NC 28546 · (910) 577-5077 · Fax (910) 577-1907
Phone(910) 577-5077
Fax(910) 577-1907
Organization SubpartNo
Authorized OfficialAnna Maria JohnsonOffice Manager · (910) 577-5077
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1174635882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 6034
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 5688 (NC)
2 OFFICE PARK DR, Jacksonville, NC 28546
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Other Names 1

Former Legal Business NameGilliam Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAXWELL L GILLIAM D.D.S.
Dentist (General Practice)
2 OFFICE PARK DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-5077
DR. CONNIE BRUCE GILLIAM D.D.S.
Dentist (Pediatric Dentistry)
2 OFFICE PARK DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-5077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilliam & Gilliam PLLC's NPI number?

The NPI number for Gilliam & Gilliam PLLC is 1174635882. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider was formerly known as Gilliam Dentistry.

Where is Gilliam & Gilliam PLLC located?

Gilliam & Gilliam PLLC is located at 2 Office Park Dr, Jacksonville, NC 28546. The listed phone number is (910) 577-5077.

What is Gilliam & Gilliam PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gilliam & Gilliam PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.