Tillman, Scott

Tillman, Scott is an individual health care provider with primary practice located at 2 Westwood Ln , Woodbury NY 11797-2621. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tillman, Scott can be contacted via phone (516) 367-1800.

Contact Information

Primary practice address
2 Westwood Ln Woodbury NY 11797-2621
Phone: (516) 367-1800
Fax: (516) 692-4081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 03955 New York

Profile Details

NPI number 1093701914
LBN Legal business name Tillman, Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 18 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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