Individual
DR. MATTHEW DAVID TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576-6434
(423) 741-9078
Mailing address
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576-6434
(423) 741-9078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7129
SC
1223P0221X
Pediatric Dentistry
9343
TN
1223P0221X
Pediatric Dentistry
Primary
940
SC
Other
Enumeration date
06/27/2011
Last updated
07/21/2022
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