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NPI Code Detail

MEDICARE: DR. LILY TERESA GILCHRIST D.D.S.

MEDICARE:  DR. LILY TERESA GILCHRIST  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry9295NC
21223G0001XGeneral Practice DentistryDN 20275FL
31223G0001XGeneral Practice DentistryDN015007GA

General Provider Information

NPI Number : 1528334257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LILY TERESA GILCHRIST D.D.S.
Provider Business Mailing Address
First Line : 4175 TANNERS CREEK DR
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-2816
Country : US
Telephone Number : 904-338-4006
Fax Number :
Provider Business Practice Location Address
First Line : 4175 TANNERS CREEK DR
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-2816
Country : US
Telephone Number : 404-728-8210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/07/2016

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Directions to “ DR. LILY TERESA GILCHRIST D.D.S.” Practice Location

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