Maryellen Tilly in Clearwater - Dental Hygienist

Maryellen Tilly - NPI 1134396914

Maryellen Tilly is a Dental Hygienist in Clearwater, Florida. Maryellen Tilly practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Maryellen Tilly is 1134396914. The last update date is 2008-05-12.

Maryellen Tilly's current location address is 15100 Rescue Way, Clearwater, Florida. You can contact this provider via phone number 7275351437. The mailing address for Maryellen Tilly is 15100 Rescue Way, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryellen Tilly
Address 15100 Rescue Way, Clearwater, Florida
Phone Number 7275351437
Fax Number
Sole Proprietor N
Credentials RDH BA

NPI Number Detail

NPI Number 1134396914
Provider Enumeration Date 2008-05-12
Last Updated Date 2008-05-12

Provider Mailing Address Detail

Address 15100 Rescue Way
City Clearwater
State Florida (FL)
Post Code 337623502
Phone Number 7275351437
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Hygienist
Taxonomy 124Q00000X
Licence No DH 11169
Definition:
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be

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FAQs about Maryellen Tilly

What is the unique identifier code issued to Maryellen Tilly by the Centers for Medicare & Medicaid Services (CMS)?

The Maryellen Tilly has been assigned the NPI (National Provider Identifier) 1134396914. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Maryellen Tilly is physically located?

The Maryellen Tilly is situated at the following address: 15100 Rescue Way, Clearwater, FL 337623502.

What is Maryellen Tilly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Maryellen Tilly is Dental Hygienist, and the taxonomy code that categorizes this field of expertise is 124Q00000X.

When did Maryellen Tilly receive its 1134396914 assignment?

The Maryellen Tilly was assigned its 1134396914 on 2008-05-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding Maryellen Tilly most recently updated?

The details pertaining to the Maryellen Tilly, including its address, specialty, and other relevant information, were last refreshed on 2008-05-12.

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