Ruediger Tillmann DDS

Primary specialty

DentistTaxonomy code 122300000X

License

142274 Issued in UT

Legal business name

RUEDIGER TILLMANN DDS

Practice address

5872 S 900 E
Ste 202
Salt Lake City, UT 84121-1676

Phone

(801) 281-8433

Fax

(801) 281-8455

NPI assigned

Jan 26, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ruediger Tillmann, DDS

Title

Dentist

Phone

(801) 281-8433

Specialties & licenses 1

Addresses

Other names 1

• Tillmann Dental Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1366748121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 S 900 E",
            "address_2": "STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211676",
            "telephone_number": "801-281-8433",
            "fax_number": "801-281-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E",
            "address_2": "STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211676",
            "telephone_number": "801-281-8433",
            "fax_number": "801-281-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUEDIGER TILLMANN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "TILLMANN",
        "authorized_official_first_name": "RUEDIGER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-281-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "142274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tillmann Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Talia Rudkin
• Ashley Rudman
• Michael David Rudman
• Lou Rudolf, MD
• Charles Ruebelmann, FNP-C, APRN
• Kristin Ruekert
• Daniel Patrick Ruesch, PA-C
• Gary Ruesch, NP
• Christina R. Rufener, MD
• Margaret Lisa Ruff, R.N.

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.