Gillam, Charles Robert

Gillam, Charles Robert is an sole proprietor health care provider with primary practice located at 1695 Wells Rd , Orange Park FL 32073-6208. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gillam, Charles Robert can be contacted via phone (904) 269-7004.

Contact Information

Primary practice address
1695 Wells Rd Orange Park FL 32073-6208
Phone: (904) 269-7004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16724 Florida

Profile Details

NPI number 1184768475
LBN Legal business name Gillam, Charles Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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