DR. BRICE GILLIAM (NPI# 1649650540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649650540 |
| Entity Type | Individual |
| Full Name | DR. BRICE GILLIAM |
| Credential | D.D.S. |
| Practice Address |
2737 Hickory Ridge Rd Lebanon TN 37087-5715 |
| Practice Telephone | 6159730927 |
| Mailing Telephone | 6159730927 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
10051 | TN | Dental Providers |
| Street Address |
2737 HICKORY RIDGE RD |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083833693 | Amy N Schulte | Dentist | 376 Sunset Dr, Lebanon, MO 65536-2069 | 2007-04-24 |
| 1538382858 | Thomas John Jaeger | Dentist | 1128 Route 31, Lebanon, NJ 08833 | 2007-04-11 |
| 1396870317 | Ingram and Daugherty Orthodontists, LLC | Dentist | 710 S 12th St, Lebanon, PA 17042-6901 | 2007-02-22 |
| 1194850024 | Robert G Wertz | Dentist | 855 Norman Dr, Lebanon, PA 17042-7445 | 2007-02-22 |
| 1679625123 | Barton Jay Girdwood | Dentist | 215 N Broadway St, Lebanon, OH 45036-1715 | 2007-01-17 |
| 1053337410 | Ross W Stryker | Dentist | 590 Lynn St, Lebanon, MO 65536-2409 | 2006-07-15 |
| 1255842340 | Stephen Bertram Ingram Jr. | Dentist | 710 S 12th St, Lebanon, PA 17042-6901 | 2017-10-17 |
| 1831600113 | Warren Patrick Daugherty | Dentist | 710 S 12th St, Lebanon, PA 17042-6901 | 2017-10-13 |
| 1457861320 | Axpm - Merkley, LLC | Dentist | 590 Lynn St, Lebanon, MO 65536-2409 | 2017-10-05 |
| 1114297017 | Robert George Wertz Jr. | Dentist | 855 Norman Dr, Lebanon, PA 17042-7445 | 2012-01-09 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.