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JOHN TILLNER DENTAL CORPORATION NPI 1730485657


NPI Information

NPI: 1730485657
Provider Name: JOHN TILLNER DENTAL CORPORATION
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
752 MEDICAL CENTER CT
STE 205
CHULA VISTA, CA
ZIP 91911
Phone: (619) 482-6774
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JOHN TILLNER DENTAL CORPORATION is an oral and maxillofacial surgery dentist in Chula Vista, CA. The provider is an oral and maxillofacial surgery dentist specialized in 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. JOHN TILLNER DENTAL CORPORATION NPI is 1730485657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

752 MEDICAL CENTER CT
STE 205
CHULA VISTA, CA
ZIP 91911-658
Phone: (619) 482-6774
Fax: (619) 482-7637

The provider's authorized official is John Emery Tillner .
The authorized official title is Doctor/president and has the following contact phone number (619) 482-6774.

The enumeration date for this NPI number is 2/10/2011 and was last updated on 2/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery52944CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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