Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE TILL, DDS
ActiveDR. STEPHANIE TILL, DDS is a Periodontology healthcare provider located in KINGSPORT, Tennessee. NPI 1659975084 is currently active in the NPPES registry. Verify at CMS.
Periodontology · KINGSPORT, TN
Registration Details
- NPI Number
- 1659975084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2020 (5.7337455216254 yrs)
- Last Updated
- Aug 13, 2025
- Licenses
-
0401416685 (VA)12143 (TN)
Practice Information
- Address
-
150 CLINIC DR STE 1KINGSPORT, TN, 376632254Browse TN providers · Browse ZIP 37663
- Phone
- 4237228833
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID MITCHELL POND | DDS MDS | 1710086418 |
| RONALD FULTON GODAT | D.D.S., M.S. | 1558588848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.