DR. CHARLES GILLAM, DMD

Dentist

Active Individual
NPI: 1184768475

Practice Address

1695 WELLS RD
Orange Park, FL 32073

Phone: (904) 269-7004

Specialties

Specialty Code Primary License
Dentist 122300000X Yes DN16724 (FL)

Frequently Asked Questions

NPI 1184768475 is the National Provider Identifier for DR. CHARLES GILLAM, DMD, a Dentist provider located in Orange Park, FL. This NPI was enumerated on February 19, 2007.
DR. CHARLES GILLAM, DMD practices at 1695 WELLS RD, Orange Park, FL 32073.

Quick Facts

NPI
1184768475
Type
Individual
Enumerated
Feb 19, 2007
Last Updated
Jul 8, 2007

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