Organization Active NPI

William a. Gilliard DMD LLC

  • Dental Clinic/Center
  • Moncks Corner, SC
National Provider Identifier
1699073841
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3735 Issued in SC
Legal business name
WILLIAM A. GILLIARD DMD LLC
Practice address
255 N Highway 52
Suite 9
Moncks Corner, SC 29461-3927
Phone
(843) 761-1600
Fax
(843) 761-3669
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Antonio Gilliard, DMDNPI 1588729818
Title
Owner/Dentist
Phone
(843) 761-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3735 SC Primary

Addresses

Primary practice location

255 N Highway 52
Suite 9
Moncks Corner, SC 29461-3927

Mailing address

255 N. Hwy 52
Suite 9
Moncks Corner, SC 29461
UM
Phone (843) 761-1600

National Provider Directory

National Provider Directory

Locations

255 N Highway 52
Ste 9
Moncks Corner, SC 29461
Phone (843) 761-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1699073841",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "255 N. HWY 52",
            "address_2": "SUITE 9",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-761-1600",
            "fax_number": "843-761-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N HIGHWAY 52",
            "address_2": "SUITE 9",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613927",
            "telephone_number": "843-761-1600",
            "fax_number": "843-761-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. GILLIARD DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-761-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.