DR. JOHN CHARLES GILLIS (NPI# 1710965769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965769 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES GILLIS |
| Credential | DDS |
| Practice Address |
68 Old Airport Rd Hattiesburg MS 39401-8382 |
| Mailing Address |
Po Box 1729 Hattiesburg MS 39403-1729 |
| Practice Telephone | 6015834800 |
| Practice Fax Number | 6015847769 |
| Mailing Telephone | 6015458700 |
| Mailing Fax Number | 6014500231 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1363-69 | MS | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6098 Debra Rd, Chattanooga, TN 374115702 | 4238936500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083970628 | John Francis Gillis II | Ophthalmology | 88 Mdg/sghj 4881 Sugar Maple Dr, Bldg 830, Wright Patterson Afb, OH 45433-5529 | 2012-04-09 |
| 1154459469 | John P Gillis | Dentist | 5037 Veterans Blvd. Suite 1, Suite 1, Metairie, LA 70006 | 2007-02-28 |
| 1770623480 | John E. Gillis | Dentist | 15810 S 45th St Ste 120, Phoenix, AZ 85048-7695 | 2007-02-08 |
| 1962749143 | John F Gillis | Pharmacist | 19390 Cortez Blvd, Brooksville, FL 34601-3041 | 2013-01-09 |
| 1679646822 | John Allen Gillis | Chiropractor | 1905 Latham Ave, Lima, OH 45805-1637 | 2006-11-16 |
| 1538231774 | John Mcnatt Gillis | Family Medicine | 2211 E Northern Lights Blvd, Anchorage, AK 99508-4103 | 2006-11-14 |
| 1083673610 | John Malcolm Gillis | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2006-03-22 |
| 1902898513 | John F Gillis | Ophthalmology | 185 Joe Knox Ave, Mooresville, NC 28117-9169 | 2005-08-19 |
| 1740288935 | John Andrew Gillis | Physical Therapist | 5530 Wisconsin Ave, Suite 604, Chevy Chase, MD 20815-4404 | 2005-07-12 |
| Street Address |
68 OLD AIRPORT RD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737646 | Mackenzie Kate Martin | Dentist | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2019-06-04 |
| 1164869897 | Kristen Cox Catledge | Dentist | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-06-04 |
| 1518201714 | Jeffery Marcus Allen | Dentist | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2012-11-12 |
| 1669753927 | Monet Kalisha Ducksworth | Dentist | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2011-08-31 |
| 1386812410 | Dewanna Renee Varnado | Dentist | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2008-02-11 |
| 1366468266 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 68 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1609428614 | Mi Truc Hoang | Dentist | 114 N 40th Ave Ste G, Hattiesburg, MS 39401-6663 | 2019-07-10 |
| 1497221055 | Sarah Burnham Kimbrough | Dentist | 7117 U S Highway 98 Ste 10, Hattiesburg, MS 39402-1757 | 2018-10-22 |
| 1386164119 | Barry Thanh Binh Nguyen | Dentist | 6032 Highway 98 West, Hattiesburg, MS 39402 | 2017-06-22 |
| 1417306218 | Alexander May | Dentist | 49 Cross Creek Pkwy, Hattiesburg, MS 39402-4418 | 2016-06-13 |
| 1508267691 | Garner Dental Pllc | Dentist | 949 Broadway Dr, Hattiesburg, MS 39401-7534 | 2014-09-09 |
| 1922235142 | Scott Matthew Tomlinson | Dentist | 6643 Highway 98, Hattiesburg, MS 39402 | 2009-06-15 |
| 1750579116 | C Alex Touchstone | Dentist | 802 S 28th Ave, Hattiesburg, MS 39402-6233 | 2007-10-11 |
| 1801084744 | Wendy R Mccurdy | Dentist | 106 S 21st Ave, Hattiesburg, MS 39401-6001 | 2007-10-04 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on DR. JOHN CHARLES GILLIS.
| 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.