Robert E. Gillis, Jr, DMD, MSD, a Professional Corporation

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22070 Issued in CA

Legal business name

ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION

Practice address

3000 L St Ste 205
Sacramento, CA 95816-5248

Phone

(916) 731-5778

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Gillis

Title

Doctor

Phone

(916) 731-5778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert E. Gillis, Jr, DMD, MSD, Inc. Other name

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1710176086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 L ST STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165248",
            "telephone_number": "916-731-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 L ST STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165248",
            "telephone_number": "916-731-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "916-731-5778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "22070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2207001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. Gillis, Jr, DMD, MSD, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Roberson
• Bonnie L. Roberson, M.S.C.
• Bruce Roberson Jr., BCBA
• Jennifer Lynn Roberson, LCSW
• Lindsey Dale Roberson
• Robert E. Sullivan, MD
• Robert F Shapiro MD Inc & Kenneth B Wiesner MD Inc PTR
• Robert L Muckey a Professional Corp
• Robert McClurg, DDS a Professional Dental Corporation
• Lori Klett Roberto, PH.D.

• Prosthodontics in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.