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

Dr. Michael Fredrick Tillery, DDS

Individual provider Dentist · NPI 1356494462

Dr. Michael Fredrick Tillery, DDS is a Dentist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3410 N High School Rd Ste B
Indianapolis, IN 46224-1742
Phone: (317) 291-8957
Fax: (317) 291-2115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12007704A (IN)

Record details

NPI number1356494462
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3410 N High School Rd, Suite B, Indianapolis, IN 46224-1742

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