Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588798722 Individual Practitioner Female Practitioner

Dr. Kathy Ann Sabrina Tiller , DDS

Dentist - General Practice • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kathy Ann Tiller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bradenton, FL. Practice services are available at 1515 26TH AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1515 26th Ave E

Bradenton, FL 342087707

Telephone 9417087607
Fax 9417087618
Associated Practice Facility / Clinic
🏢 Mcr Health, Inc. Facility NPI 1467481960

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
111 Specialists

Practicing in Bradenton, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN15249

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
070416400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Elizabeth Foge , RDH

Dental Hygienist

NPI 1386606903

Registered Dental Hygienist

Celine Dominic , RDH

Dental Hygienist

NPI 1548222177

Registered Dental Hygienist

NPI 1730158767

Doctor of Dental Surgery

Dr. Karl Lewis , DMD

Dentist - Pediatric Dentistry

NPI 1740240472

Doctor of Dental Medicine

Dr. Erika Pimentel Ramirez , DDS

Dentist - General Practice

NPI 1780170415

Doctor of Dental Surgery

Dr. Madge Potts-Williams , DDS

Dentist - General Practice

NPI 1902028780

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2014

Registered at 1515 26TH AVE E, BRADENTON, FL 342087707 (Tel: 9417087607)

📍
Updated Business Mailing Address December 04, 2014

Registered at PO BOX 997, PALMETTO, FL 342200997 (Tel: 9417764000)

👤
Provider Name / Credentials Updated December 04, 2014

Recorded as KATHY ANN TILLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2014

Dentist (License #DN15249 in FL)

🟢
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588798722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: December 04, 2014
Sole Proprietor: Yes

Mailing Address

Po Box 997

Palmetto, FL 342200997

Phone: 9417764000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.