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DR. JERRY A GWILLIAM DDS
NPI 1265658751
Dentist - General Practice in Walnut Creek, CA

Active since April 17, 2007
1874 BONANZA ST, WALNUT CREEK, CA 94596(925) 935-6080(925) 935-6084 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry A Gwilliam Dds NPPES

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

DR. JERRY A GWILLIAM DDS (NPI 1265658751) is an individual general practice provider in Walnut Creek, California, licensed in California (18557) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1265658751
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY A GWILLIAMCredential: DDS
Location Address1874 BONANZA STWalnut Creek, CA 94596-4318
Mailing Address1874 Bonanza StWalnut Creek, CA 94596-4318 · (925) 935-6080 · Fax (925) 935-6084
Phone(925) 935-6080
Fax(925) 935-6084
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265658751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 18557
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1874 BONANZA ST, Walnut Creek, CA 94596
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Other Identifiers 1

Medicare ID-Type UnspecifiedB18557-01CA

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 Jerry Gwilliam's NPI number?

The NPI number for Jerry Gwilliam is 1265658751. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Jerry Gwilliam located?

Jerry Gwilliam practices at 1874 Bonanza St, Walnut Creek, CA 94596. The listed phone number is (925) 935-6080.

What is Jerry Gwilliam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Gwilliam 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.