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

Dr. Stephanie Till, DDS

Individual provider Periodontics · NPI 1659975084

Dr. Stephanie Till, DDS is a Periodontics in Kingsport, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2020.

Licensed in
TN, VA
In the registry since
2020
Specialties on file
2
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

150 Clinic Dr Ste 1
Kingsport, TN 37663-2254
Phone: (423) 722-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 12143 (TN)
Periodontics Taxonomy 1223P0300X · Licence 0401416685 (VA)

Record details

NPI number1659975084
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address150 Clinic Dr Ste 1, Kingsport, TN 37663-2254

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