DR. MAXWELL L GILLIAM D.D.S.
NPI 1407056153
Dentist - General Practice in Jacksonville, NC

Active since July 20, 2007
2 OFFICE PARK DR, JACKSONVILLE, NC 28546(910) 577-5077(910) 577-1907 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Maxwell L Gilliam D.d.s. NPPES

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

DR. MAXWELL L GILLIAM D.D.S. (NPI 1407056153) is an individual general practice provider in Jacksonville, North Carolina, licensed in North Carolina (5688) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1407056153
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAXWELL L GILLIAMCredential: D.D.S.
Location Address2 OFFICE PARK DRJacksonville, NC 28546-7325
Mailing Address2 Office Park DrJacksonville, NC 28546-7325 · (910) 577-5077 · Fax (910) 577-1907
Fax(910) 577-1907
Sole ProprietorNo
Enumeration DateJuly 20, 2007
NPI 1407056153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 5688
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.
2 OFFICE PARK DR, Jacksonville, NC 28546

Other Identifiers 3

Other014CYNC · Bcbs
Other063744NC · United Concordia
Medicaid8993182NC

Accepted Insurance

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.

Dentist (Pediatric Dentistry)
2 OFFICE PARK DR
JACKSONVILLE, NC 28546
Dentist (Pediatric Dentistry)
2 OFFICE PARK DR
JACKSONVILLE, NC 28546

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 Maxwell Gilliam's NPI number?

The NPI number for Maxwell Gilliam is 1407056153. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Maxwell Gilliam located?

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

What is Maxwell Gilliam's specialty?

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

What insurance does Maxwell Gilliam accept?

Health plans from Delta Dental of North Carolina list Maxwell Gilliam 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 Maxwell Gilliam was last updated on July 20, 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.