Gilliam, Charles Michael

Gilliam, Charles Michael is an sole proprietor health care provider with primary practice located at 2700 Ne 14Th Street Cswy Suite #105, Pompano Beach FL 33062-3561. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gilliam, Charles Michael can be contacted via phone (954) 941-2412.

Contact Information

Primary practice address
2700 Ne 14Th Street Cswy Suite #105 Pompano Beach FL 33062-3561
Phone: (954) 941-2412
Fax: (954) 784-7984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10912 Florida

Profile Details

NPI number 1679780902
LBN Legal business name Gilliam, Charles Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 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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