Matthew Ryan Gillham, DDS

Pediatric Dentistry · Temple, TX

Individual Active NPI

NPI number 1790896512

Practice location

2122 Birdcreek Dr
Temple, TX 76502-1034
Phone
(254) 771-5701

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NPI record

NPI
1790896512
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
September 8, 2026
Certified
September 8, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 23162 TX

Mailing address

PO Box 170729
Austin, TX 78717-0034
Phone
(254) 771-5701

Other practice locations (1)

  • 1121 Lake Air Dr, Waco, TX 76710-4417 · (254) 772-8330

About Dr. Gillham

Matthew Ryan Gillham, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 2122 Birdcreek Dr, Temple, TX 76502-1034. The NPI number 1790896512 was assigned on August 31, 2006 and the record was last updated on September 8, 2026.

Dr. Gillham lists a license in the registry: #23162 (TX) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Ryan Gillham, DDS?

The NPI number is 1790896512.

What is the phone number of Dr. Gillham?

The phone number listed for the practice location is (254) 771-5701.

Where is Dr. Gillham located?

2122 Birdcreek Dr, Temple, TX 76502-1034.

What is the taxonomy code for Dr. Gillham?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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