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E A Tillman & Associates Inc

General Practice Dentistry in Crestview, FL · enumerated 2006 · authorized official E Tillman, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063509222

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Registry record

Entity type Organization (Type 2)
Legal business name E A Tillman & Associates Inc
Practice address 285 N Ferdon Blvd, Crestview, FL, 32536
Phone (850) 682-2408
Fax (850) 682-8755
Enumeration date Oct 9, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 9341 (FL) Primary
1223G0001X General Practice Dentistry Dental Providers · License 3915 (FL) Secondary

Authorized official

Name E Tillman
Title President
Phone (850) 682-2408

Other identifiers

Identifier Type State Issuer
977588 Other FL UNITED CONCORDIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for E A Tillman & Associates Inc?
The NPI for E A Tillman & Associates Inc is 1063509222, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for E A Tillman & Associates Inc?
NPPES lists E Tillman (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.