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

Dr. E A Tillman, DMD

Individual provider Dentist · NPI 1649487398

Dr. E A Tillman, DMD is a Dentist in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

285 N Ferdon Blvd
Crestview, FL 32536-2751
Phone: (850) 682-2408
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9341 (FL)

Record details

NPI number1649487398
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address285 N Ferdon Blvd, Crestview, FL 32536-2751

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