Individual
DR. RONALD RICHARD TILGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 STONEY POINTE DR, HOLLISTER, MO 65672-4101
(814) 558-7129
Mailing address
109 STONEY POINTE DR, HOLLISTER, MO 65672-4101
(814) 558-7129
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
3380
AR
1223D0001X
Public Health Dentistry
DEN-DEN-LIC- 11602
MT
1223G0001X
General Practice Dentistry
Primary
2024004291
MO
1223G0001X
General Practice Dentistry
DS022410L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007456580009
—
PA
Enumeration date
05/25/2006
Last updated
02/03/2025
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