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Active NPI 1578643920 Individual Practitioner Male Practitioner

Dr. Phillip Shelby Tully , DMD

Dentist - General Practice • Columbus, GA

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Tully, DMD is a registered healthcare professional specializing in Dentist - General Practice in Columbus, GA. Practice services are available at 7270 N LAKE DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7270 N Lake Dr Ste 100

Columbus, GA 319092764

Telephone 7063236491
Fax 7063232671
Associated Practice Facility / Clinic
🏢 Lakeside Family Dentistry And Tmj, Pc Facility NPI 1396825667

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
66 Specialists

Practicing in Columbus, GA (3302 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

CMS Verified: 2024-05-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012911

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 20, 2024

Registered at 7270 N LAKE DR STE 100, COLUMBUS, GA 319092764 (Tel: 7063236491)

📍
Updated Business Mailing Address May 20, 2024

Registered at 7270 N LAKE DR STE 100, COLUMBUS, GA 319092764 (Tel: 7063236491)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3914 ROSEMONT DR, COLUMBUS, GA 319045626 (Tel: 7063236491)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8109 WOOD FERN DR, COLUMBUS, GA 319092027 (Tel: 7065074296)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP TULLY, DMD

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

Dentist (License #DN012911 in GA)

🟢
Initial NPI Registration & Enumeration October 17, 2006

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: 1578643920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: May 20, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

7270 N Lake Dr Ste 100

Columbus, GA 319092764

Phone: 7063236491

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.