HENRY YOUNG TILLMAN III D.D.S.
NPI 1154690337
Dentist - General Practice in Hahira, GA

Active since December 18, 2011
950 HWY 122 W, HAHIRA, GA 31632(229) 794-3003(229) 794-3804 Get Directions Write a Review

NPPES record last updated: December 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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
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

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 Henry Tillman's NPI number?

The NPI number for Henry Tillman is 1154690337. It was assigned to this individual provider in the NPPES registry on December 18, 2011.

Where is Henry Tillman located?

Henry Tillman practices at 950 Hwy 122 W, Hahira, GA 31632. The listed phone number is (229) 794-3003.

What is Henry Tillman'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 Henry Tillman was last updated on December 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.