Gregg Harrison Tillman in Fort Worth - General Practice
Gregg Harrison Tillman - NPI 1821105297
Gregg Harrison Tillman is a General Practice in Fort Worth, Texas. Gregg Harrison Tillman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregg Harrison Tillman is 1821105297. The last update date is 2007-07-08.
Gregg Harrison Tillman's current location address is 4900 Overton Ridge Blvd, Fort Worth, Texas. You can contact this provider via phone number 8172921904 and fax number 8172943297. The mailing address for Gregg Harrison Tillman is 4900 Overton Ridge Blvd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Harrison Tillman |
|---|---|
| Address | 4900 Overton Ridge Blvd, Fort Worth, Texas |
| Phone Number | 8172921904 |
| Fax Number | 8172943297 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821105297 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4900 Overton Ridge Blvd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761321911 |
| Phone Number | 8172921904 |
| Fax Number | 8172943297 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15104 |
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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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What is the unique 10-digit identifier code issued to Gregg Harrison Tillman by the Centers for Medicare & Medicaid Services?
The Gregg Harrison Tillman has been assigned the NPI (National Provider Identifier) 1821105297 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gregg Harrison Tillman is physically located?
The Gregg Harrison Tillman is physically situated at the following address: 4900 Overton Ridge Blvd, Fort Worth, TX, 761321911.
What is the Gregg Harrison Tillman's specialty and taxonomy code?
The Gregg Harrison Tillman's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821105297 to Gregg Harrison Tillman?
The Centers for Medicare & Medicaid Services originally issued the 1821105297 to Gregg Harrison Tillman on 2006-08-23.
As of what date were the details pertaining to Gregg Harrison Tillman last refreshed?
The information related to the Gregg Harrison Tillman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.