What is Douglas Tillery's NPI number?

Douglas Tillery's National Provider Identifier (NPI) is 1033120001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Douglas Tillery's specialty?

Douglas Tillery is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Douglas Tillery located?

Douglas Tillery's practice location on file with NPPES is 1508 W 10th St, Laurel, MS 39440-2668.

What is Douglas Tillery's phone number?

The practice phone number listed in the NPPES registry for Douglas Tillery is (601) 428-6093.

Is Douglas Tillery's NPI active?

Yes — Douglas Tillery's NPI (1033120001) is active in the NPPES registry as of the last update on 2026-05-24.

IndividualActive

Douglas Tillery, DDS

NPI 1033120001 · Dentist · Laurel, MS

Douglas Tillery, DDS is a Dentist provider in Laurel, MS (NPI 1033120001).

Provider details

NPI number: 1033120001
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: MS133268 (MS)

Specialties & taxonomies

DentistPrimary122300000XLicense MS133268 (MS)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1508 W 10th St

Laurel, MS 39440-2668

Phone: (601) 428-6093

Fax: (601) 428-6096

Street-level locationGet directions

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Mailing address