Gilliam & Gilliam PLLC
NPI 1174635882ActiveOrganization· Dentist, Pediatric Dentistry· Jacksonville, NC
Dentist, Pediatric Dentistry in Jacksonville, North Carolina, registered in NPPES in August 2006. The authorized official on file is Anna Maria Johnson, Office Manager.
Overview
| NPI | 1174635882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 6034 | NC |
| Dentist, General Practice | 1223G0001X | 5688 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pediatric dentists in Jacksonville
- 1548460298