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DR. CONNIE BRUCE GILLIAM D.D.S.
NPI 1548460298
Dentist - Pediatric Dentistry 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: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connie Bruce Gilliam D.d.s. NPPES

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

DR. CONNIE BRUCE GILLIAM D.D.S. (NPI 1548460298) is an individual pediatric dentistry provider in Jacksonville, North Carolina, licensed in North Carolina (6034) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1548460298
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CONNIE BRUCE 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
Phone(910) 577-5077
Fax(910) 577-1907
Sole ProprietorNo
Enumeration DateJuly 20, 2007
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1548460298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2 OFFICE PARK DR, Jacksonville, NC 28546
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Other Identifiers 3

Other060913NC · United Concordia
Medicaid8993221NC
Other014CYNC · Bcbs

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.

GILLIAM & GILLIAM PLLC
Dentist (Pediatric Dentistry)
2 OFFICE PARK DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-5077
DR. MAXWELL L GILLIAM D.D.S.
Dentist (General Practice)
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 Connie Bruce Gilliam's NPI number?

The NPI number for Connie Bruce Gilliam is 1548460298. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Connie Bruce Gilliam located?

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

What is Connie Bruce Gilliam'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 Connie Bruce Gilliam was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.