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Active NPI 1790728236 Individual Practitioner Male Practitioner

Dr. John Barry Tillis , DMD

Dentist • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Tillis, DMD is a registered healthcare professional specializing in Dentist in Rockford, IL. Practice services are available at 7117 CRIMSON RIDGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7117 Crimson Ridge Dr
Suite 5

Rockford, IL 611076208

Telephone 8153950327
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
72 Specialists

Practicing in Rockford, IL (4751 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 IL 019-019019783

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. James Finn , PsyD

Nursing Facility/Intermediate Care Facility

NPI 1861755597

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2007

Registered at 7117 CRIMSON RIDGE DR, SUITE 5, ROCKFORD, IL 611076208 (Tel: 8153950327)

📍
Updated Business Mailing Address August 28, 2007

Registered at 7117 CRIMSON RIDGE DR., SUITE 5, ROCKFORD, IL 61107 (Tel: 8153950327)

👤
Provider Name / Credentials Updated August 28, 2007

Recorded as JOHN TILLIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2007

Dentist (License #019-019019783 in IL)

🟢
Initial NPI Registration & Enumeration June 13, 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: 1790728236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: August 28, 2007
Sole Proprietor: Yes

Mailing Address

7117 Crimson Ridge Dr., Suite 5

Rockford, IL 61107

Phone: 8153950327

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.