Ernest Joseph Tiller Jr., D.D.S.

General Practice Dentistry · Snellville, GA

Individual Active NPI

NPI number 1962569400

Practice location

2341 Henry Clower Blvd
Snellville, GA 30078-7420
Phone
(770) 736-0099

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NPI record

NPI
1962569400
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
January 10, 2022
Certified
January 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013269 GA

Mailing address

2341 Henry Clower Blvd Ste a
Snellville, GA 30078-7420
Phone
(770) 736-0099
Fax
(770) 923-9219

About Dr. Tiller

Ernest Joseph Tiller Jr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2341 Henry Clower Blvd, Snellville, GA 30078-7420. The NPI number 1962569400 was assigned on January 3, 2007 and the record was last updated on January 10, 2022.

Dr. Tiller lists a license in the registry: #DN013269 (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 Ernest Joseph Tiller Jr., D.D.S.?

The NPI number is 1962569400.

What is the phone number of Dr. Tiller?

The phone number listed for the practice location is (770) 736-0099.

Where is Dr. Tiller located?

2341 Henry Clower Blvd, Snellville, GA 30078-7420.

What is the taxonomy code for Dr. Tiller?

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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