Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRENT LESLIE GILLILAND D.D.S.
NPI 1902890676
Dentist - General Practice in Randolph Afb, TX

Q: What is Brent Gilliland's NPI number?

The NPI number for Brent Gilliland is 1902890676. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Brent Gilliland's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Gilliland was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since September 08, 2005

12TH AEROMEDICAL-DENTAL SQUADRON, 221 3RD STREET WEST, RANDOLPH AFB, TX 78150(210) 652-1846(210) 652-1368 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Brent Leslie Gilliland D.d.s. NPPES

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

DR. BRENT LESLIE GILLILAND D.D.S. (NPI 1902890676) is an individual general practice provider in Randolph Afb, Texas, licensed in Texas (13335) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1902890676

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRENT LESLIE GILLILANDCredential: D.D.S.

Location Address12TH AEROMEDICAL-DENTAL SQUADRON, 221 3RD STREET WESTRandolph Afb, TX 78150-4801

Mailing Address540 Thoreau TrlSchertz, TX 78154-1158 · (210) 845-1387

Phone(210) 652-1846

Fax(210) 652-1368

Sole ProprietorNo

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1902890676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 13335

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.

12TH AEROMEDICAL-DENTAL SQUADRON, Randolph Afb, TX 78150

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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 Brent Gilliland's NPI number?

The NPI number for Brent Gilliland is 1902890676. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Brent Gilliland located?

Brent Gilliland practices at 12th Aeromedical-Dental Squadron 221 3rd Street West, Randolph Afb, TX 78150. The listed phone number is (210) 652-1846.

What is Brent Gilliland'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 Brent Gilliland was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.