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

Dr. Michael Shane Dilllard, DMD

Individual provider General Practice Dentistry · NPI 1962669200

Dr. Michael Shane Dilllard, DMD is a General Practice Dentistry in Snellville, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
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

2400 Wisteria Dr Ste D
Snellville, GA 30078-2689
Phone: (770) 979-7794
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN013709 (GA)

Record details

NPI number1962669200
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESMarch 24, 2011
Mailing address9492 Greens Mill Ct, Loganville, GA 30052-5265

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