HENRY YOUNG TILLMAN III D.D.S. - NPI 1154690337

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Henry Young Tillman Iii D.d.s. NPPES

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

HENRY YOUNG TILLMAN III D.D.S. (NPI 1154690337) is an individual general practice provider in Hahira, Georgia, licensed in Georgia (DN006926) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1154690337

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameHENRY YOUNG TILLMAN IIICredential: D.D.S.

Location Address950 HWY 122 WHahira, GA 31632-1061

Mailing AddressPo Box 554Hahira, GA 31632-0554 · (229) 251-0099 · Fax (229) 247-5828

Phone(229) 794-3003

Fax(229) 794-3804

Sole ProprietorYes

Enumeration DateDecember 18, 2011

✔ NPI 1154690337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN006926

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.

950 HWY 122 W, Hahira, GA 31632

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Frequently Asked Questions

What is Henry Tillman's NPI number?

The NPI number assigned to this healthcare provider is 1154690337, enumerated as an "individual" on December 18, 2011.

Where is the provider located?

The provider is located at 950 HWY 122 W HAHIRA, GA 31632 and the phone number is (229) 794-3003.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.