Organization
E A TILLMAN & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E A TILLMAN DMD (PRESIDENT)
(850) 682-2408
Entity
Organization
Contact information
Practice address
285 N FERDON BLVD, CRESTVIEW, FL 32536-2751
(850) 682-2408
(850) 682-8755
Mailing address
285 N FERDON BLVD, CRESTVIEW, FL 32536-2751
(850) 682-2408
(850) 682-8755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3915
FL
1223G0001X
General Practice Dentistry
Primary
9341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
977588
UNITED CONCORDIA
FL
Enumeration date
10/09/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us