Martin George Tilley in Kearney - Oral And Maxillofacial Surgery
Martin George Tilley - NPI 1134295389
Martin George Tilley is a Oral And Maxillofacial Surgery in Kearney, Nebraska. Martin George Tilley practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Martin George Tilley is 1134295389. The last update date is 2007-07-08.
Martin George Tilley's current location address is 516 W 39th St, Kearney, Nebraska. You can contact this provider via phone number 3088652577 and fax number 3082349526. The mailing address for Martin George Tilley is 516 W 39th St, Kearney, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin George Tilley |
|---|---|
| Address | 516 W 39th St, Kearney, Nebraska |
| Phone Number | 3088652577 |
| Fax Number | 3082349526 |
| Sole Proprietor | Y |
| Credentials | M.D., D.D. |
NPI Number Detail
| NPI Number | 1134295389 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 516 W 39th St |
|---|---|
| City | Kearney |
| State | Nebraska (NE) |
| Post Code | 688452881 |
| Phone Number | 3088652577 |
| Fax Number | 3082349526 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4560 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3663 | NE | BLUE CROSS BLUE SHIELD | |
| 47067456101 | NE | -- | |
| 5400 | NE | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Martin George Tilley by the Centers for Medicare & Medicaid Services?
The Martin George Tilley has been assigned the NPI (National Provider Identifier) 1134295389. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Martin George Tilley's facilities are situated?
The facilities of Martin George Tilley are physically located at the following address: 516 W 39Th St, Kearney, NE, 688452881.
What is Martin George Tilley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martin George Tilley's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Martin George Tilley receive the assignment of its 1134295389 from the Centers for Medicare & Medicaid Services?
The Martin George Tilley was issued its 1134295389 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details related to Martin George Tilley most recently updated or revised?
The information pertaining to Martin George Tilley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.