William Austin Gillam III, DDS
Dentist, General Practice in Pacific, MO. Individual provider (NPI-1).
NPI number1609959618
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609959618
- Entity type
- Individual (NPI-1)
- Name
- Mr. William Austin Gillam III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 014341 | MO | Yes |
Practice location
421 West OsagePacific, MO 63069-1332
Phone 636-257-5515 · Fax 636-257-4433
Mailing address
421 West OsagePacific, MO 63069-1332
Phone 636-257-5515 · Fax 636-257-4433
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Other General Practice Dentistry providers in Pacific, MO
- Leo Joseph Burke, DDSNPI 1538268602
- Cary W. Ulbrich, DDS, LLCNPI 1174728422
- Leo J Burke DDS PCNPI 1386743458
- Cary William Ulbrich, DDSNPI 1811046584
All 5 General Practice Dentistry providers in Pacific · All 92 providers in Pacific
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