Dr. George David Gilliam, D.D.S.
Dentist, General Practice in Marion, VA. Individual provider (NPI-1).
NPI number1710046552
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710046552
- Entity type
- Individual (NPI-1)
- Name
- Dr. George David Gilliam
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401004849 | VA | Yes |
Practice location
637 Park BlvdMarion, VA 24354-4223
Phone 276-783-5124 · Fax 276-783-2170
Mailing address
637 Park BlvdMarion, VA 24354-4223
Phone 276-783-5124 · Fax 276-783-2170
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 General Practice Dentistry providers in Marion · All 430 providers in Marion
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