EDGAR TILLEY
NPI 1710796388
Dentist - Orthodontics and Dentofacial Orthopedics in Henderson, NV

Active since January 07, 2025
4 SUNSET WAY STE C, HENDERSON, NV 89014(702) 968-1682 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgar Tilley NPPES

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

EDGAR TILLEY (NPI 1710796388) is an individual orthodontics and dentofacial orthopedics provider in Henderson, Nevada, licensed in Washington (DE61632800) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1710796388
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameEDGAR TILLEY
Location Address4 SUNSET WAY STE CHenderson, NV 89014-2016
Mailing Address5918 Crumbling Ridge StHenderson, NV 89011-1611 · (385) 207-5175
Sole ProprietorNo
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
NPI 1710796388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WA · DE61632800
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4 SUNSET WAY STE C, Henderson, NV 89014

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.

Dentist
4 SUNSET WAY STE C
HENDERSON, NV 89014
Dentist (Orthodontics and Dentofacial Orthopedics)
4 SUNSET WAY STE C
HENDERSON, NV 89014
Dentist (Orthodontics and Dentofacial Orthopedics)
4 SUNSET WAY STE C
HENDERSON, NV 89014
Dentist (Orthodontics and Dentofacial Orthopedics)
4 SUNSET WAY STE C, ROSEMAN UNIVERSITY OF HEALTH SCIENCES
HENDERSON, NV 89014

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 Edgar Tilley's NPI number?

The NPI number for Edgar Tilley is 1710796388. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Edgar Tilley located?

Edgar Tilley practices at 4 Sunset Way Ste C, Henderson, NV 89014. The listed phone number is (702) 968-1682.

What is Edgar Tilley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Edgar Tilley was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.