Tilly, Maryellen

Tilly, Maryellen is an individual health care provider with primary practice located at 15100 Rescue Way Dental, Clearwater FL 33762-3502. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tilly, Maryellen can be contacted via phone (727) 535-1437.

Contact Information

Primary practice address
15100 Rescue Way Dental Clearwater FL 33762-3502
Phone: (727) 535-1437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH 11169 Florida

Profile Details

NPI number 1134396914
LBN Legal business name Tilly, Maryellen
Credentials RDH BA
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated May 12th, 2008 - 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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