OrganizationActive
Gilliam & Gilliam PLLC
NPI 1174635882 · Pediatric Dentistry · Jacksonville, NC
Gilliam & Gilliam PLLC is a Pediatric Dentistry organization in Jacksonville, NC (NPI 1174635882).
Provider details
- NPI number
- 1174635882
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Anna Johnson, Office Manager(910) 577-5077
- License
- 5688 (NC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Office Park Dr
Jacksonville, NC 28546
Phone: (910) 577-5077
Fax: (910) 577-1907
Street-level locationGet directions
Mailing address
2 Office Park Dr
Jacksonville, NC 28546
Other names (DBA / former)
- Former legal business name
- Gilliam Dentistry
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-09-11
Frequently asked questions
- What is Gilliam & Gilliam PLLC's NPI number?
- Gilliam & Gilliam PLLC's National Provider Identifier (NPI) is 1174635882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gilliam & Gilliam PLLC?
- Gilliam & Gilliam PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Gilliam & Gilliam PLLC located?
- Gilliam & Gilliam PLLC's practice location on file with NPPES is 2 Office Park Dr, Jacksonville, NC 28546.
- What is Gilliam & Gilliam PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gilliam & Gilliam PLLC is (910) 577-5077.
- Who is the authorized official for Gilliam & Gilliam PLLC?
- The authorized official listed on Gilliam & Gilliam PLLC's NPPES record is Anna Johnson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gilliam & Gilliam PLLC's NPI active?
- Yes — Gilliam & Gilliam PLLC's NPI (1174635882) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.