Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962669200 Individual Practitioner Male Practitioner

Dr. Michael Shane Dilllard , DMD

Dentist - General Practice • Snellville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Dilllard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Snellville, GA. Practice services are available at 2400 WISTERIA DR STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 Wisteria Dr Ste D

Snellville, GA 300782689

Telephone 7709797794

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Snellville, GA

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

Practicing in Snellville, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013709

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. James Darden , DDS

Dentist - General Practice

NPI 1366534430

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 March 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2011

Registered at 2400 WISTERIA DR STE D, SNELLVILLE, GA 300782689 (Tel: 7709797794)

📍
Updated Business Mailing Address March 24, 2011

Registered at 9492 GREENS MILL CT, LOGANVILLE, GA 300525265 (Tel: 7702647951)

👤
Provider Name / Credentials Updated March 24, 2011

Recorded as MICHAEL DILLLARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2011

Dentist (License #DN013709 in GA)

🟢
Initial NPI Registration & Enumeration May 22, 2008

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: 1962669200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2008
Last Update: March 24, 2011
Sole Proprietor: No

Mailing Address

9492 Greens Mill Ct

Loganville, GA 300525265

Phone: 7702647951

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.