Michael Shane Dilllard, DMD

General Practice Dentistry · Snellville, GA

Individual Active NPI

NPI number 1962669200

Practice location

2400 Wisteria Dr Ste D
Snellville, GA 30078-2689
Phone
(770) 979-7794

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NPI record

NPI
1962669200
Entity type
Individual (Type 1)
Enumeration date
May 22, 2008
Last updated
March 24, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013709 GA

Mailing address

9492 Greens Mill Ct
Loganville, GA 30052-5265
Phone
(770) 264-7951

About Dr. Dilllard

Michael Shane Dilllard, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2400 Wisteria Dr Ste D, Snellville, GA 30078-2689. The NPI number 1962669200 was assigned on May 22, 2008 and the record was last updated on March 24, 2011.

Dr. Dilllard lists a license in the registry: #DN013709 (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 Michael Shane Dilllard, DMD?

The NPI number is 1962669200.

What is the phone number of Dr. Dilllard?

The phone number listed for the practice location is (770) 979-7794.

Where is Dr. Dilllard located?

2400 Wisteria Dr Ste D, Snellville, GA 30078-2689.

What is the taxonomy code for Dr. Dilllard?

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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