Scott Gillis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6513 Issued in OR

Practice address

540 Union Ave
Grants Pass, OR 97527-5544

Phone

(541) 476-7781

Fax

(541) 471-9366

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Oregon Dental L.L.C.

  • General Practice Dentistry
  • Grants Pass, OR
  • NPI 1023032778
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972726339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-476-7781",
            "fax_number": "541-471-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-476-7781",
            "fax_number": "541-471-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "SCOTT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Gilbert, M.A., N.C.C.
• Julie Lynne Gilbert, QMHP
• Laurie Mae Gilkey, BA
• Roland Gille, QMHA
• Thomas R Gilliland, DC
• Gail Frances Giltner, RN, FNP-C
• Diana Lynn Girvin
• Anthony Karl Giurlani
• Bethany Givens
• Tia Glanding, RDH, CMT, OMT

• General Practice Dentistry in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.