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

Tiara La'Shay Wilburn

Individual provider Dentist · NPI 1093499246

Tiara La'Shay Wilburn is a Dentist in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
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Practice location Address checks out

2800 College Ave
Alton, IL 62002-4742
Phone: (618) 474-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019034234 (IL)

Record details

NPI number1093499246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 7, 2023

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