E A TILLMAN & ASSOCIATES INC
NPI 1063509222
Dentist - General Practice in Crestview, FL

Active since October 09, 2006
285 N FERDON BLVD, CRESTVIEW, FL 32536(850) 682-2408(850) 682-8755 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About E A Tillman & Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

E A TILLMAN & ASSOCIATES INC (NPI 1063509222) is a healthcare organization registered as a general practice in Crestview, Florida and active in the NPI registry since October 2006. The organization lists E A Tillman, President, as its authorized official.

NPPES Registry Identity

NPI1063509222
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameE A TILLMAN & ASSOCIATES INC
Location Address285 N FERDON BLVDCrestview, FL 32536-2751
Mailing Address285 N Ferdon BlvdCrestview, FL 32536-2751 · (850) 682-2408 · Fax (850) 682-8755
Fax(850) 682-8755
Organization SubpartNo
Authorized OfficialE A TillmanPresident · (850) 682-2408
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1063509222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in FL · 9341 Licensed in FL · 3915
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
285 N FERDON BLVD, Crestview, FL 32536

Other Identifiers 1

Other977588FL · United Concordia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
285 N FERDON BLVD
CRESTVIEW, FL 32536
Dentist
285 N FERDON BLVD
CRESTVIEW, FL 32536
Dentist (General Practice)
285 N FERDON BLVD
CRESTVIEW, FL 32536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E A Tillman & Associates Inc's NPI number?

The NPI number for E A Tillman & Associates Inc is 1063509222. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is E A Tillman & Associates Inc located?

E A Tillman & Associates Inc is located at 285 N Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 682-2408.

What is E A Tillman & Associates Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for E A Tillman & Associates Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.