DR. JOHN CHARLES GILLIS DDS - NPI 1710965769

Q: What is John Gillis's NPI number?

The NPI number for John Gillis is 1710965769. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Q: What is John Gillis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Gillis was last updated on February 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. John Charles Gillis Dds NPPES

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

DR. JOHN CHARLES GILLIS DDS (NPI 1710965769) is an individual dentist in Hattiesburg, Mississippi, licensed in Mississippi (1363-69) and active in the NPI registry since January 2006. He maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1710965769

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JOHN CHARLES GILLISCredential: DDS

Location Address68 OLD AIRPORT RDHattiesburg, MS 39401-8382

Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-0231

Phone(601) 583-4800

Fax(601) 584-7769

Sole ProprietorNo

Enumeration DateJanuary 9, 2006

Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration

✔ NPI 1710965769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 1363-69

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.

68 OLD AIRPORT RD, Hattiesburg, MS 39401

Open in Google Maps ↗

Secondary Practice Location 1

Location 16098 Debra RdChattanooga, TN 37411-5702 · Phone (423) 893-6500 ext. 27903

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. KRISTEN COX CATLEDGE D.M.D.

Dentist (General Practice)