Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tillery Dental Clinics, PA

Organization General Practice Dentistry · NPI 1376656041

Tillery Dental Clinics, PA is a General Practice Dentistry in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 W 10th St
Laurel, MS 39440-2668
Phone: (601) 428-6093
Fax: (601) 428-6096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence MS133268 (MS)

Record details

NPI number1376656041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Tillery — Owner · (601) 428-6093
NPI enumeratedAugust 16, 2006
Last updated in NPPESJanuary 3, 2008
Mailing address1508 W 10th St, Laurel, MS 39440-2668

Other providers in Laurel