E A Tillman & Associates Inc

LBN: E A Tillman & Associates Inc
E A Tillman & Associates Inc is an health care organization with primary practice located at 285 N Ferdon Blvd , Crestview FL 32536-2751. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. E A Tillman & Associates Inc can be contacted via phone (850) 682-2408, or through Tillman, E A via phone (850) 682-2408.

Contact Information

Primary practice address
285 N Ferdon Blvd Crestview FL 32536-2751
Phone: (850) 682-2408
Fax: (850) 682-8755
Website:
Map and Directions
Authorized official contact:
Name: Tillman, E A Doctor of Dental Medicine (DMD)
Phone: (850) 682-2408

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9341 Florida
Dental Providers / General Practice 1223G0001X 3915 Florida

Profile Details

NPI number 1063509222
LBN Legal business name E A Tillman & Associates Inc
DBA Doing business as
Authorized official Tillman, E A Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063509222 NPPES
Florida Other 977588 UNITED CONCORDIA

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