John Tillner Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52944 Issued in CA

Legal business name

JOHN TILLNER DENTAL CORPORATION

Practice address

752 Medical Center CT
Ste 205
Chula Vista, CA 91911-6658

Phone

(619) 482-6774

Fax

(619) 482-7637

NPI assigned

Feb 10, 2011

Organization subpart

No

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

Authorized official

Name

John Emery Tillner, DDSNPI 1316135452

Title

Doctor/President

Phone

(619) 482-6774

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Emery Tillner Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Chula Vista, CA
  • NPI 1316135452
  NPD (past) Authorized official
• Lester Machado, M.D., D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1598733727
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1730485657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT",
            "address_2": "STE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-482-6774",
            "fax_number": "619-482-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT",
            "address_2": "STE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-482-6774",
            "fax_number": "619-482-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN TILLNER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "TILLNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EMERY",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "619-482-6774",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Clark, OD, Inc.
• John J Lee a Professional Corporation
• John M McCluskey MD a Professional Corporation
• John Maroon DDS a Professional Corporation
• John Qian M.D. Inc.
• John Videen MD,Inc
• John W Masters DDS Inc
• Alan Kuriakose John, M.D.
• Julie Juanita Johns
• Danielle Johnson

• Oral and Maxillofacial Surgery (Dentist) in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.