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TILLERY GROUP PA
NPI 1902020118
Dentist - Oral and Maxillofacial Surgery in Winter Park, FL

Active since April 12, 2007
800 W MORSE BLVD, SUITE 2, WINTER PARK, FL 32789(407) 628-5400(407) 628-5389 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tillery Group Pa NPPES

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

TILLERY GROUP PA (NPI 1902020118) is a healthcare organization registered as an oral and maxillofacial surgery in Winter Park, Florida and active in the NPI registry since April 2007. The organization lists Don E Tillery, Owner And Surgeon, as its authorized official.

NPPES Registry Identity

NPI1902020118
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTILLERY GROUP PA
Location Address800 W MORSE BLVD, SUITE 2Winter Park, FL 32789-3797
Mailing Address800 W Morse Blvd, Suite 2Winter Park, FL 32789-3797 · (407) 628-5400 · Fax (407) 628-5389
Phone(407) 628-5400
Fax(407) 628-5389
Organization SubpartNo
Authorized OfficialDon E TilleryOwner And Surgeon · (407) 628-5400
Enumeration DateApril 12, 2007
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1902020118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · 10178✔ Licensed in FL · 16103
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
800 W MORSE BLVD, Winter Park, FL 32789
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Other Identifiers 1

Medicare ID-Type Unspecified67930FL

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 MULTIPLE 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.

MALCOLM EDWARD HAWLEY D.D.S.
Dentist
800 W MORSE BLVD, SUITE #3-C
WINTER PARK, FL 32789
Orange County (407) 647-8384
DR. DON E TILLERY JR. DMD
Dentist (Oral and Maxillofacial Surgery)
800 W MORSE BLVD, STE 2
WINTER PARK, FL 32789
Orange County (407) 628-5400
DR. DONALD SCOTT ROTATORI M.D.
Plastic Surgery
800 W MORSE BLVD, SUITE #5
WINTER PARK, FL 32789
Orange County (407) 628-5476
D. SCOTT ROTATORI, M.D., P.A.
Specialist
800 W MORSE BLVD, SUITE 5
WINTER PARK, FL 32789
Orange County (407) 628-5476

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 Group PA's NPI number?

The NPI number for Tillery Group PA is 1902020118. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Tillery Group PA located?

Tillery Group PA is located at 800 W Morse Blvd Suite 2, Winter Park, FL 32789. The listed phone number is (407) 628-5400.

What is Tillery Group PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Tillery Group PA was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.