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DR. MATTHEW DAVID TILLMAN DDS
NPI 1073809133
Dentist - Pediatric Dentistry in Murrells Inlet, SC

Active since June 27, 2011PECOS Enrolled
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576(423) 741-9078 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 28, 2017 (3 updates tracked since 2017).

About Dr. Matthew David Tillman Dds NPPES

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

DR. MATTHEW DAVID TILLMAN DDS (NPI 1073809133) is an individual pediatric dentistry provider in Murrells Inlet, South Carolina, licensed in South Carolina (940) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1073809133
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MATTHEW DAVID TILLMANCredential: DDS
Location Address4410 HIGHWAY 17 UNIT B6Murrells Inlet, SC 29576-6434
Mailing Address4410 Highway 17 Unit B6Murrells Inlet, SC 29576-6434 · (423) 741-9078
Phone(423) 741-9078
Sole ProprietorNo
Enumeration DateJune 27, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1073809133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in SC · 940✔ Licensed in TN · 9343
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 7129 (SC)
4410 HIGHWAY 17 UNIT B6, Murrells Inlet, SC 29576
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Secondary Practice Location 1

Location 1712 W Walnut StJohnson City, TN 37604-6524 · Phone (423) 928-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew David Tillman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29576 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. AARON FORSYTHE BLOOM DDS
Dentist (Pediatric Dentistry)
4410 HIGHWAY 17 UNIT B6
MURRELLS INLET, SC 29576
Georgetown County (304) 419-0188
AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC
Clinic/Center (Radiology)
4410 HIGHWAY 17 UNIT B6
MURRELLS INLET, SC 29576
Georgetown County (843) 438-0080
SEASIDE PEDIATRIC DENTAL ASSOCIATES
Dentist (Pediatric Dentistry)
4410 HIGHWAY 17 UNIT B6
MURRELLS INLET, SC 29576
Georgetown County (423) 741-9078

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 Matthew Tillman's NPI number?

The NPI number for Matthew Tillman is 1073809133. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Matthew Tillman located?

Matthew Tillman practices at 4410 Highway 17 Unit B6, Murrells Inlet, SC 29576. The listed phone number is (423) 741-9078.

What is Matthew Tillman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Matthew Tillman enrolled in Medicare?

Yes. Matthew Tillman is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Tillman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina list Matthew Tillman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Tillman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.