| William A. Gilliard Dmd Llc | |
|
255 N Highway 52 Suite 9 Moncks Corner SC 29461-3927 | |
| (843) 761-1600 | |
| (843) 761-3669 |
| Full Name | William A. Gilliard Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 255 N Highway 52, Moncks Corner, South Carolina |
| Authorized Official Name and Position | William Antonio Gilliard (OWNER/DENTIST) |
| Authorized Official Contact | 8437611600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William A. Gilliard Dmd Llc 255 N. Hwy 52 Suite 9 Moncks Corner SC 29461 Ph: (843) 761-1600 | William A. Gilliard Dmd Llc 255 N Highway 52 Suite 9 Moncks Corner SC 29461-3927 Ph: (843) 761-1600 |
| NPI Number | 1699073841 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699073841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3735 (South Carolina) | Primary |
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