IndividualActive
John Gillis, DDS
NPI 1710965769 · Dentist · Hattiesburg, MS
John Gillis, DDS is a Dentist provider in Hattiesburg, MS (NPI 1710965769).
Provider details
- NPI number
- 1710965769
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1363-69 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(95/100 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
2 documented practice locations
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
68 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone: (601) 583-4800
Fax: (601) 584-7769
Street-level locationGet directions
Mailing address
Po Box 1729
Hattiesburg, MS 39403-1729
Additional practice locations (1)
- 6098 Debra RdChattanooga, TN 37411-5702Phone: (423) 893-6500
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is John Gillis's NPI number?
- John Gillis's National Provider Identifier (NPI) is 1710965769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Gillis's specialty?
- John Gillis is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is John Gillis located?
- John Gillis's practice location on file with NPPES is 68 Old Airport Rd, Hattiesburg, MS 39401-8382.
- What is John Gillis's phone number?
- The practice phone number listed in the NPPES registry for John Gillis is (601) 583-4800.
- Is John Gillis's NPI active?
- Yes — John Gillis's NPI (1710965769) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.