Gilliam, Charles H

Gilliam, Charles H is an sole proprietor health care provider with primary practice located at 6500 Quaker Ave Ste E , Lubbock TX 79413-5138. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gilliam, Charles H can be contacted via phone (806) 797-1275.

Contact Information

Primary practice address
6500 Quaker Ave Ste E Lubbock TX 79413-5138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12571 Texas

Profile Details

NPI number 1205972924
LBN Legal business name Gilliam, Charles H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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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