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

Dr. John Barry Tillis, DMD

Individual provider Dentist · NPI 1790728236

Dr. John Barry Tillis, DMD is a Dentist in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7117 Crimson Ridge Dr Ste 5
Rockford, IL 61107-6208
Phone: (815) 395-0327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-019019783 (IL)

Record details

NPI number1790728236
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 13, 2006
Last updated in NPPESAugust 28, 2007
Mailing address7117 Crimson Ridge Dr., Suite 5, Rockford, IL 61107

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