TILLERY DENTAL CLINIC
NPI 1528240330
Dentist in Hattiesburg, MS

Active since December 04, 2007
6032 U S HIGHWAY 98, HATTIESBURG, MS 39402(601) 264-0333(601) 264-0821 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Tillery Dental Clinic NPPES

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

TILLERY DENTAL CLINIC (NPI 1528240330) is a healthcare organization registered as a dentist in Hattiesburg, Mississippi and active in the NPI registry since December 2007. The organization lists Douglas W Tillery, Owner, as its authorized official.

NPPES Registry Identity

NPI1528240330
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTILLERY DENTAL CLINIC
Location Address6032 U S HIGHWAY 98Hattiesburg, MS 39402-8861
Mailing Address6032 U S Highway 98Hattiesburg, MS 39402-8861 · (601) 264-0333 · Fax (601) 264-0821
Fax(601) 264-0821
Organization SubpartNo
Authorized OfficialDouglas W TilleryOwner · (601) 428-6093
Enumeration DateDecember 4, 2007
NPI 1528240330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MS · MS133268
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6032 U S HIGHWAY 98, Hattiesburg, MS 39402

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
6032 U S HIGHWAY 98
HATTIESBURG, MS 39402

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 Clinic's NPI number?

The NPI number for Tillery Dental Clinic is 1528240330. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Tillery Dental Clinic located?

Tillery Dental Clinic is located at 6032 U S Highway 98, Hattiesburg, MS 39402. The listed phone number is (601) 264-0333.

What is Tillery Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tillery Dental Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Tillery Dental Clinic 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 Tillery Dental Clinic was last updated on December 4, 2007. 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.