Tillman, Michael David
Tillman, Michael David is an sole proprietor health care provider with primary practice located at 747 8Th Ave Ste C , Ft Worth TX 76104-2503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tillman, Michael David can be contacted via phone (817) 332-9303.Contact Information
Primary practice address
747 8Th Ave Ste C
Ft Worth TX 76104-2503
Phone: (817) 332-9303
Fax: (817) 332-6559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 16464 | Texas |
Profile Details
| NPI number | 1316148471 |
|---|---|
| LBN Legal business name | Tillman, Michael David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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