Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tillery Dental Clinic

Organization Dentist · NPI 1528240330

Tillery Dental Clinic provides Dentist services in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

6032 U S Highway 98
Hattiesburg, MS 39402-8861 Not confirmed with CMS for 18 years — call before visiting
Phone: (601) 264-0333
Fax: (601) 264-0821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence MS133268 (MS)

Record details

NPI number1528240330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Tillery — Owner · (601) 428-6093
NPI enumeratedDecember 4, 2007
Last updated in NPPESDecember 4, 2007
Mailing address6032 U S Highway 98, Hattiesburg, MS 39402-8861

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