Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184768475 Individual Practitioner Male Practitioner

Dr. Charles Robert Gillam , DMD

Dentist • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Charles Gillam, DMD is a registered healthcare professional specializing in Dentist in Orange Park, FL. Practice services are available at 1695 WELLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1695 Wells Rd

Orange Park, FL 320736208

Telephone 9042697004
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Orange Park, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN16724

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1164081402
NPI 1407978679

Doctor of Dental Medicine

NPI 1467864504

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1695 WELLS RD, ORANGE PARK, FL 320736208 (Tel: 9042697004)

📍
Updated Business Mailing Address July 08, 2007

Registered at 600 SPARROW BRANCH CIR, JACKSONVILLE, FL 322595470 (Tel: 9042309571)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES GILLAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN16724 in FL)

🟢
Initial NPI Registration & Enumeration February 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184768475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

600 Sparrow Branch Cir

Jacksonville, FL 322595470

Phone: 9042309571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.