DR. CHARLES ROBERT GILLAM DMD
NPI 1184768475
Dentist in Orange Park, FL

Active since February 19, 2007
1695 WELLS RD, ORANGE PARK, FL 32073(904) 269-7004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Robert Gillam Dmd NPPES

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

DR. CHARLES ROBERT GILLAM DMD (NPI 1184768475) is an individual dentist in Orange Park, Florida, licensed in Florida (DN16724) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1184768475
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CHARLES ROBERT GILLAMCredential: DMD
Location Address1695 WELLS RDOrange Park, FL 32073-6208
Mailing Address600 Sparrow Branch CirJacksonville, FL 32259-5470 · (904) 230-9571
Sole ProprietorYes
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1184768475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN16724
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1695 WELLS RD, Orange Park, FL 32073

Other Names 1

Other Name (5)Bob Gillam

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
1695 WELLS RD
ORANGE PARK, FL 32073
Dentist
1695 WELLS RD
ORANGE PARK, FL 32073
Dentist
1695 WELLS RD
ORANGE PARK, FL 32073

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 Charles Gillam's NPI number?

The NPI number for Charles Gillam is 1184768475. It was assigned to this individual provider in the NPPES registry on February 19, 2007. The provider is also known as Bob Gillam.

Where is Charles Gillam located?

Charles Gillam practices at 1695 Wells Rd, Orange Park, FL 32073. The listed phone number is (904) 269-7004.

What is Charles Gillam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Charles Gillam accept?

Health plans from Delta Dental and Humana list Charles Gillam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Gillam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.