OrganizationActive
Tillery Dental Clinic
NPI 1528240330 · Dentist · Hattiesburg, MS
Tillery Dental Clinic is a Dentist organization in Hattiesburg, MS (NPI 1528240330).
Provider details
- NPI number
- 1528240330
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Tillery, Owner(601) 428-6093
- License
- MS133268 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6032 U S Highway 98
Hattiesburg, MS 39402-8861
Phone: (601) 264-0333
Fax: (601) 264-0821
Street-level locationGet directions
Mailing address
6032 U S Highway 98
Hattiesburg, MS 39402-8861
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2007-12-04
Frequently asked questions
- What is Tillery Dental Clinic's NPI number?
- Tillery Dental Clinic's National Provider Identifier (NPI) is 1528240330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tillery Dental Clinic?
- Tillery Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Tillery Dental Clinic located?
- Tillery Dental Clinic's practice location on file with NPPES is 6032 U S Highway 98, Hattiesburg, MS 39402-8861.
- What is Tillery Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Tillery Dental Clinic is (601) 264-0333.
- Who is the authorized official for Tillery Dental Clinic?
- The authorized official listed on Tillery Dental Clinic'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 Clinic's NPI active?
- Yes — Tillery Dental Clinic's NPI (1528240330) is active in the NPPES registry as of the last update on 2007-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.