Dr. Matthew David Tillman
Dentist Pediatric Dentist
4410 Highway 17 Unit B6
Murrells Inlet
, South Carolina 29576-6434
Dr. Matthew David Tillman
Dentist Pediatric Dentist
4410 Highway 17 Unit B6
Murrells Inlet
, South Carolina 29576-6434
(423) 741-9078
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Matthew David Tillman
- 4410 Highway 17 Unit B6
- Murrells Inlet, SC
- Zip : 29576-6434
- Phone : (423) 741-9078
Second Address
- Dr. Matthew David Tillman
- 4410 Highway 17 Unit B6
- Murrells Inlet, SC
- Zip : 29576-6434
- Phone : (423) 741-9078
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What type of doctor is Dr. Matthew David Tillman
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Is Dr. Matthew David Tillman a sole practitioner?
Is Dr. Matthew David Tillman accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 7129 | SC |
| N | 1223P0221X | Pediatric Dentist | 9343 | TN |
| Y | 1223P0221X | Pediatric Dentist | 940 | SC |
National Provider Identifier
| NPI | 1073809133 |
|---|---|
| Provider Name | Dr. Matthew David Tillman |
| First Address | Murrells Inlet, SC 29576-6434 |
| Second Address | Murrells Inlet, SC 29576-6434 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2011 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.