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Organization

MARTIN G. TILLEY D.D.S., M.D., P.C.

Active
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Organization

MARTIN G. TILLEY D.D.S., M.D., P.C.

Active
Parent organization
MARTIN G. TILLEY D.D.S., M.D., P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARTIN G. TILLEY D.D.S., M.D., P.C.
Authorized official
DR. MARTIN GEORGE TILLEY M.D., D.D.S. P.C. (OWNER)
(308) 865-2577
Entity
Organization

Contact information

Practice address
516 W 39TH ST, SUITE D TOWER PLAZA, KEARNEY, NE 68845-2881
(308) 865-2577
Mailing address
516 W 39TH ST, SUITE D TOWER PLAZA, KEARNEY, NE 68845-2881
(308) 865-2577

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
10/21/2009
Last updated
01/03/2018
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