Dr. Matthew David Tillman, DDS
Dentist, Pediatric Dentistry in Murrells Inlet, SC. Individual provider (NPI-1).
NPI number1073809133
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1073809133
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew David Tillman
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2011
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 940 | SC | Yes |
| 122300000X | Dentist | 7129 | SC | |
| 1223P0221X | Dentist, Pediatric Dentistry | 9343 | TN |
Practice location
4410 Highway 17 Unit B6Murrells Inlet, SC 29576-6434
Phone 423-741-9078
Mailing address
4410 Highway 17 Unit B6Murrells Inlet, SC 29576-6434
Phone 423-741-9078
Other practice locations
712 W Walnut St
Johnson City, TN 37604-6524
Johnson City, TN 37604-6524
Phone 423-928-5500
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