Tillery Group PA
NPI 1902020118 · Oral and Maxillofacial Surgery (Dentist) · Winter Park, FL
Tillery Group PA is a Oral and Maxillofacial Surgery (Dentist) organization in Winter Park, FL (NPI 1902020118).
Provider details
- NPI number
- 1902020118
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Don Tillery, Owner and Surgeon(407) 628-5400
- License
- 16103 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2014-09-23
Frequently asked questions
- What is Tillery Group PA's NPI number?
- Tillery Group PA's National Provider Identifier (NPI) is 1902020118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tillery Group PA?
- Tillery Group PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Tillery Group PA located?
- Tillery Group PA's practice location on file with NPPES is 800 W Morse Blvd, Winter Park, FL 32789-3797.
- What is Tillery Group PA's phone number?
- The practice phone number listed in the NPPES registry for Tillery Group PA is (407) 628-5400.
- Who is the authorized official for Tillery Group PA?
- The authorized official listed on Tillery Group PA's NPPES record is Don Tillery, Owner and Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tillery Group PA's NPI active?
- Yes — Tillery Group PA's NPI (1902020118) is active in the NPPES registry as of the last update on 2014-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.