E A. Tillman, DMD
Dentist · Crestview, FL
Practice location
285 N Ferdon BlvdCrestview, FL 32536-2751
- Phone
- (850) 682-2408
NPI record
- NPI
- 1649487398
- Entity type
- Individual (Type 1)
- Enumeration date
- May 16, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
9341 | FL |
About Dr. Tillman
E A. Tillman, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 285 N Ferdon Blvd, Crestview, FL 32536-2751. The NPI number 1649487398 was assigned on May 16, 2007 and the record was last updated on July 8, 2007.
Dr. Tillman lists a license in the registry: #9341 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of E A. Tillman, DMD?
The NPI number is 1649487398.
What is the phone number of Dr. Tillman?
The phone number listed for the practice location is (850) 682-2408.
Where is Dr. Tillman located?
285 N Ferdon Blvd, Crestview, FL 32536-2751.
What is the taxonomy code for Dr. Tillman?
The primary taxonomy code is 122300000X – Dentist.
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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