LARRY DILLAHA MD
NPI 1760769400
General Practice in Mount Juliet, TN

Active since November 09, 2011
2046 BRECKENRIDGE DR, MOUNT JULIET, TN 37122(615) 767-0074 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry Dillaha Md NPPES

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

LARRY DILLAHA MD (NPI 1760769400) is an individual general practice provider in Mount Juliet, Tennessee, licensed in Tennessee (MD24875) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1760769400
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLARRY DILLAHACredential: MD
Location Address2046 BRECKENRIDGE DRMount Juliet, TN 37122-6305
Mailing Address2046 Breckenridge DrMount Juliet, TN 37122-6305 · (615) 767-0074
Sole ProprietorYes
Enumeration DateNovember 9, 2011
NPI 1760769400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TN · MD24875
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2046 BRECKENRIDGE DR, Mount Juliet, TN 37122

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 Larry Dillaha's NPI number?

The NPI number for Larry Dillaha is 1760769400. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Where is Larry Dillaha located?

Larry Dillaha practices at 2046 Breckenridge Dr, Mount Juliet, TN 37122. The listed phone number is (615) 767-0074.

What is Larry Dillaha's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Larry Dillaha was last updated on November 9, 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.