Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN BARRY TILLIS, D.M.D.
Active Sole ProprietorDR. JOHN BARRY TILLIS, D.M.D. is a Dentist healthcare provider located in ROCKFORD, Illinois. NPI 1790728236 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROCKFORD, IL
Registration Details
- NPI Number
- 1790728236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.131850872281 yrs)
- Last Updated
- Aug 28, 2007
- License
-
019-019019783 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7117 CRIMSON RIDGE DRSUITE 5ROCKFORD, IL, 611076208Browse IL providers · Browse ZIP 61107
- Phone
- 8153950327
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KURTIS E WIRTH | DDS | 1407850761 |
| DANIEL G WEBB | DDS | 1154315638 |
| DR. KRISTOFFER JAN TUMILOWICZ | D.M.D. | 1568575207 |
| DR. THOMAS RYAN MOSS | DDS | 1013026624 |
| DR. JASON MICHAEL GRINTER | DDS | 1255401899 |
| DR. DAVID DARRELL LARSON | DMD | 1174691752 |
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.