DR. MICHAEL SHANE DILLLARD DMD
NPI 1962669200
Dentist - General Practice in Snellville, GA

Active since May 22, 2008
2400 WISTERIA DR STE D, SNELLVILLE, GA 30078(770) 979-7794 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Shane Dilllard Dmd NPPES

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

DR. MICHAEL SHANE DILLLARD DMD (NPI 1962669200) is an individual general practice provider in Snellville, Georgia, licensed in Georgia (DN013709) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1962669200
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL SHANE DILLLARDCredential: DMD
Location Address2400 WISTERIA DR STE DSnellville, GA 30078-2689
Mailing Address9492 Greens Mill CtLoganville, GA 30052-5265 · (770) 264-7951
Sole ProprietorNo
Enumeration DateMay 22, 2008
Last NPPES UpdateMarch 24, 2011
NPI 1962669200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN013709
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.
2400 WISTERIA DR STE D, Snellville, GA 30078

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 Michael Dilllard's NPI number?

The NPI number for Michael Dilllard is 1962669200. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Michael Dilllard located?

Michael Dilllard practices at 2400 Wisteria Dr Ste D, Snellville, GA 30078. The listed phone number is (770) 979-7794.

What is Michael Dilllard'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 Michael Dilllard was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.