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TILLERY DENTAL CLINICS, P.A.
NPI 1376656041
Dentist - General Practice in Laurel, MS

Active since August 16, 2006
1508 W 10TH ST, LAUREL, MS 39440(601) 428-6093(601) 428-6096 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tillery Dental Clinics, P.a. NPPES

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

TILLERY DENTAL CLINICS, P.A. (NPI 1376656041) is a healthcare organization registered as a general practice in Laurel, Mississippi and active in the NPI registry since August 2006. The organization lists Douglas W. Tillery, Owner, as its authorized official.

NPPES Registry Identity

NPI1376656041
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTILLERY DENTAL CLINICS, P.A.
Location Address1508 W 10TH STLaurel, MS 39440-2668
Mailing Address1508 W 10th StLaurel, MS 39440-2668 · (601) 428-6093 · Fax (601) 428-6096
Phone(601) 428-6093
Fax(601) 428-6096
Organization SubpartNo
Authorized OfficialDouglas W. TilleryOwner · (601) 428-6093
Enumeration DateAugust 16, 2006
Last NPPES UpdateJanuary 3, 2008
✔ NPI 1376656041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · MS133268
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.
1508 W 10TH ST, Laurel, MS 39440
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL MORAN DMD
Dentist (General Practice)
1508 W 10TH ST
LAUREL, MS 39440
Jones County (601) 428-6093
DR. CARLETTA YALONDA HAYES D.M.D.
Dentist
1508 W 10TH ST
LAUREL, MS 39440
Jones County (601) 545-7055
DR. TRAVIS BALL
Dentist
1508 W 10TH ST
LAUREL, MS 39440
Jones County (601) 428-6093
JOHN M CHANDLER DMD
Dentist
1508 W 10TH ST
LAUREL, MS 39440
Jones County (601) 428-6093

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 Tillery Dental Clinics, P.A.'s NPI number?

The NPI number for Tillery Dental Clinics, P.A. is 1376656041. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Tillery Dental Clinics, P.A. located?

Tillery Dental Clinics, P.A. is located at 1508 W 10th St, Laurel, MS 39440. The listed phone number is (601) 428-6093.

What is Tillery Dental Clinics, P.A.'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 Tillery Dental Clinics, P.A. was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.