OrganizationActive
Tillery Dental Clinics, P.A.
NPI 1376656041 · General Practice Dentistry · Laurel, MS
Tillery Dental Clinics, P.A. is a General Practice Dentistry organization in Laurel, MS (NPI 1376656041).
Provider details
- NPI number
- 1376656041
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Tillery, Owner(601) 428-6093
- License
- MS133268 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
Mailing address
1508 W 10th St
Laurel, MS 39440-2668
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2008-01-03
Frequently asked questions
- What is Tillery Dental Clinics, P.A.'s NPI number?
- Tillery Dental Clinics, P.A.'s National Provider Identifier (NPI) is 1376656041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tillery Dental Clinics, P.A.?
- Tillery Dental Clinics, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tillery Dental Clinics, P.A. located?
- Tillery Dental Clinics, P.A.'s practice location on file with NPPES is 1508 W 10th St, Laurel, MS 39440-2668.
- What is Tillery Dental Clinics, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Tillery Dental Clinics, P.A. is (601) 428-6093.
- Who is the authorized official for Tillery Dental Clinics, P.A.?
- The authorized official listed on Tillery Dental Clinics, P.A.'s NPPES record is Douglas Tillery, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tillery Dental Clinics, P.A.'s NPI active?
- Yes — Tillery Dental Clinics, P.A.'s NPI (1376656041) is active in the NPPES registry as of the last update on 2008-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.