Provider Type Icon

ROBERT E. GILLIS JR DMD MSD A PROFESSIONAL CORPORATION NPI 1710176086


NPI Information

NPI: 1710176086
Provider Name: ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION

Other Name: ROBERT E. GILLIS, JR, DMD, MSD, INC.

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
3000 L ST STE 205
SACRAMENTO, CA
ZIP 95816
Phone: (916) 731-5778
Get Directions

ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION is a prosthodontics dentist in Sacramento, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION NPI is 1710176086. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Robert E. Gillis, Jr, Dmd, Msd, Inc..

The provider's business location address is:

3000 L ST STE 205
SACRAMENTO, CA
ZIP 95816-248
Phone: (916) 731-5778

The provider's authorized official is Robert E Gillis .
The authorized official title is Doctor and has the following contact phone number (916) 731-5778.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics22070CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T08304MEDICARE UPIN
2DS0220700MEDICARE PIN
3B2207001MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.