Dr Connie Bruce Gilliam, DDS - Dentist in Jacksonville, NC

Dr Connie Bruce Gilliam, DDS is a Dentist - Pediatric Dentistry based in Jacksonville, North Carolina. Dr Connie Bruce Gilliam is licensed to practice in North Carolina (license number 6034) and her current practice location is 2 Office Park Dr, Jacksonville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 577-5077.

NPI number for Dr Connie Bruce Gilliam is 1548460298 and her current mailing address is 2 Office Park Dr, Jacksonville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548460298.

Contact Information

Dr Connie Bruce Gilliam, DDS
2 Office Park Dr,
Jacksonville, NC 28546-7325
(910) 577-5077
(910) 577-1907

Map and Direction




Healthcare Provider's Profile

Full NameDr Connie Bruce Gilliam
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location2 Office Park Dr, Jacksonville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548460298
  • Provider Enumeration Date: 07/20/2007
  • Last Update Date: 10/31/2023

Medical Identifiers

Medical identifiers for Dr Connie Bruce Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548460298NPI-NPPES
060913OtherNCUNITED CONCORDIA
8993221MedicaidNC
014CYOtherNCBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 6034 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Connie Bruce Gilliam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Connie Bruce Gilliam, DDS
2 Office Park Dr,
Jacksonville, NC 28546-7325

Ph: (910) 577-5077
Dr Connie Bruce Gilliam, DDS
2 Office Park Dr,
Jacksonville, NC 28546-7325

Ph: (910) 577-5077

Reviews and Comments


Dentist in Jacksonville, NC

Dr. Chad Scott Reese, D.M.D
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Phone: 910-346-2345    Fax: 910-346-1332
Britney Marie Cruz, DMD
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Phone: 910-388-0223    
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Phone: 650-305-9922    
Maria D. Julia-montanez, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 100 White St, Jacksonville, NC 28540
Phone: 910-449-6515    Fax: 910-449-6077

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