Tillery Group Pa

LBN: Tillery Group Pa
Tillery Group Pa is an health care organization with primary practice located at 800 W Morse Blvd Suite 2, Winter Park FL 32789-3797. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Tillery Group Pa can be contacted via phone (407) 628-5400, or through Tillery, Don E via phone (407) 628-5400.

Contact Information

Primary practice address
800 W Morse Blvd Suite 2 Winter Park FL 32789-3797
Phone: (407) 628-5400
Fax: (407) 628-5389
Website:
Map and Directions
Authorized official contact:
Name: Tillery, Don E Doctor of Dental Medicine (DMD)
Phone: (407) 628-5400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10178 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 16103 Florida

Profile Details

NPI number 1902020118
LBN Legal business name Tillery Group Pa
DBA Doing business as
Authorized official Tillery, Don E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Sep 23rd, 2014 - about 10 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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