IndividualActive
Connie Bruce Gilliam, D.D.S.
NPI 1548460298 · Pediatric Dentistry · Jacksonville, NC
Connie Bruce Gilliam, D.D.S. is a Pediatric Dentistry provider in Jacksonville, NC (NPI 1548460298).
Provider details
- NPI number
- 1548460298
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 6034 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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 28546-7325
Phone: (910) 577-5077
Fax: (910) 577-1907
Street-level locationGet directions
Mailing address
2 Office Park Dr
Jacksonville, NC 28546-7325
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Frequently asked questions
- What is Connie Bruce Gilliam's NPI number?
- Connie Bruce Gilliam's National Provider Identifier (NPI) is 1548460298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Connie Bruce Gilliam's specialty?
- Connie Bruce Gilliam is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Connie Bruce Gilliam located?
- Connie Bruce Gilliam's practice location on file with NPPES is 2 Office Park Dr, Jacksonville, NC 28546-7325.
- What is Connie Bruce Gilliam's phone number?
- The practice phone number listed in the NPPES registry for Connie Bruce Gilliam is (910) 577-5077.
- Is Connie Bruce Gilliam's NPI active?
- Yes — Connie Bruce Gilliam's NPI (1548460298) is active in the NPPES registry as of the last update on 2023-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.