Tillman's Corner Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3964 Issued in AL

Legal business name

TILLMAN'S CORNER DENTAL, P.C.

Practice address

5659 Three Notch Rd.
Mobile, AL 36619

Phone

(251) 660-1400

Fax

(251) 660-1409

NPI assigned

Apr 18, 2013

Last updated

Apr 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Charles Reindl, DMDNPI 1407057367

Title

Owner

Phone

(251) 660-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Charles Reindl, D.M.D.

  • Dentist
  • Mobile, AL
  • NPI 1407057367
  NPD (past) Authorized official

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1548604739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 THREE NOTCH RD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36619",
            "telephone_number": "251-660-1400",
            "fax_number": "251-660-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 THREE NOTCH RD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36619",
            "telephone_number": "251-660-1400",
            "fax_number": "251-660-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLMAN'S CORNER DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "REINDL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-660-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jermaine Gerard Tiller, PHARMD
• Ashton Kylie Tillman
• Layne Tillman
• Rachel Tillman, RBT
• William H Tillman III, MD
• Tillmans Corner Chiropractic Clinic Inc
• Timothy N Byrd, DMD and Assoc, PC (Grelot Dental)
• Melanie March Tims, NP
• Rollins Lynne Tindell Jr., M.D.
• Hope Tindle

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.