Tillery Group Pa in Winter Park - Oral And Maxillofacial Surgery
Tillery Group Pa - NPI 1902020118
Tillery Group Pa is a Oral And Maxillofacial Surgery in Winter Park, Florida. Tillery Group Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Tillery Group Pa is 1902020118. The last update date is 2014-09-23.
Tillery Group Pa's current location address is 800 W Morse Blvd, Winter Park, Florida. You can contact this provider via phone number 4076285400 and fax number 4076285389. The mailing address for Tillery Group Pa is 800 W Morse Blvd, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tillery Group Pa |
|---|---|
| Address | 800 W Morse Blvd, Winter Park, Florida |
| Phone Number | 4076285400 |
| Fax Number | 4076285389 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Tillery E Don |
| Credentials | DMD |
| Telephone Number | 4076285400 |
NPI Number Detail
| NPI Number | 1902020118 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2014-09-23 |
Provider Mailing Address Detail
| Address | 800 W Morse Blvd |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 327893797 |
| Phone Number | 4076285400 |
| Fax Number | 4076285389 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 16103 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tillery Group Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Tillery Group Pa has been assigned the NPI (National Provider Identifier) 1902020118. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Tillery Group Pa?
The Tillery Group Pa is situated at 800 W Morse Blvd, in the city of Winter Park, state of FL, with the zip code 327893797.
What is Tillery Group Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tillery Group Pa is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When did the Tillery Group Pa receive its 1902020118?
The Tillery Group Pa was issued its 1902020118 on 2007-04-12, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Tillery Group Pa most recently updated or revised?
The details related to Tillery Group Pa, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-23.