Larry Lamar Tilley, D.M.D.

General Practice Dentistry · Calhoun, GA

Individual Active NPI

NPI number 1104043066

Practice location

201 S. Park Ave.
Calhoun, GA 30701-2441
Phone
(706) 629-0131
Fax
(706) 629-0299

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NPI record

NPI
1104043066
Entity type
Individual (Type 1)
Enumeration date
April 19, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8555 GA

About Dr. Tilley

Larry Lamar Tilley, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 201 S. Park Ave., Calhoun, GA 30701-2441. The NPI number 1104043066 was assigned on April 19, 2007 and the record was last updated on July 8, 2007.

Dr. Tilley lists a license in the registry: #8555 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Lamar Tilley, D.M.D.?

The NPI number is 1104043066.

What is the phone number of Dr. Tilley?

The phone number listed for the practice location is (706) 629-0131.

Where is Dr. Tilley located?

201 S. Park Ave., Calhoun, GA 30701-2441.

What is the taxonomy code for Dr. Tilley?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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