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

Tillery Group PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1902020118

Tillery Group PA is an Oral and Maxillofacial Surgery (Dentist) in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
2
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

800 W Morse Blvd Ste 2
Winter Park, FL 32789-3797
Phone: (407) 628-5400
Fax: (407) 628-5389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10178 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 16103 (FL)

Record details

NPI number1902020118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Don Tillery — Owner And Surgeon · (407) 628-5400
NPI enumeratedApril 12, 2007
Last updated in NPPESSeptember 23, 2014
Mailing address800 W Morse Blvd, Suite 2, Winter Park, FL 32789-3797

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