Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649487398 Individual Practitioner Male Practitioner

Dr. E A Tillman , DMD

Dentist • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dr. E Tillman, DMD is a registered healthcare professional specializing in Dentist in Crestview, FL. Practice services are available at 285 N FERDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

285 N Ferdon Blvd

Crestview, FL 325362751

Telephone 8506822408
Associated Practice Facility / Clinic
🏢 E A Tillman & Associates Inc Facility NPI 1063509222

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Crestview, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 9341

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
977588 (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1003023524

Doctor of Dental Surgery

Dr. Kaycee Wilcox , DMD

Dentist - General Practice

NPI 1649623752

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 285 N FERDON BLVD, CRESTVIEW, FL 325362751 (Tel: 8506822408)

📍
Updated Business Mailing Address July 08, 2007

Registered at 285 N FERDON BLVD, CRESTVIEW, FL 325362751

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as E TILLMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9341 in FL)

🟢
Initial NPI Registration & Enumeration May 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: 1649487398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

285 N Ferdon Blvd

Crestview, FL 325362751

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.