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

Dr. John Barry Tillis, DMD

Individual provider Dentist · NPI 1790728236

Dr. John Barry Tillis, DMD is a Dentist in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

7117 Crimson Ridge Dr Ste 5
Rockford, IL 61107-6208
Phone: (815) 395-0327
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-019019783 (IL)

Record details

NPI number1790728236
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 13, 2006
Last updated in NPPESAugust 28, 2007

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