E A Tillman & Associates Inc in Crestview - General Practice
E A Tillman & Associates Inc - NPI 1063509222
E A Tillman & Associates Inc is a General Practice in Crestview, Florida. E A Tillman & Associates Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for E A Tillman & Associates Inc is 1063509222. The last update date is 2020-08-22.
E A Tillman & Associates Inc's current location address is 285 N Ferdon Blvd, Crestview, Florida. You can contact this provider via phone number 8506822408 and fax number 8506828755. The mailing address for E A Tillman & Associates Inc is 285 N Ferdon Blvd, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | E A Tillman & Associates Inc |
|---|---|
| Address | 285 N Ferdon Blvd, Crestview, Florida |
| Phone Number | 8506822408 |
| Fax Number | 8506828755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tillman A E |
| Credentials | DMD |
| Telephone Number | 8506822408 |
NPI Number Detail
| NPI Number | 1063509222 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 285 N Ferdon Blvd |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325362751 |
| Phone Number | 8506822408 |
| Fax Number | 8506828755 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3915 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 977588 | FL | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identification code assigned to E A Tillman & Associates Inc by the Centers for Medicare & Medicaid Services?
The E A Tillman & Associates Inc has been issued the NPI (National Provider Identifier) 1063509222. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where E A Tillman & Associates Inc's facilities are situated?
The facilities of E A Tillman & Associates Inc are physically located at the following address: 285 N Ferdon Blvd, Crestview, FL, 325362751.
What is E A Tillman & Associates Inc's area of expertise and its corresponding taxonomy classification?
The E A Tillman & Associates Inc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1063509222 to E A Tillman & Associates Inc?
The E A Tillman & Associates Inc received its 1063509222 assignment from the Centers for Medicare & Medicaid Services on 2006-10-09.
When was the information related to E A Tillman & Associates Inc most recently updated or refreshed?
The details pertaining to the E A Tillman & Associates Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA