Individual provider · Type 1 NPI

John Barry Tillis, DMD

Dentist · Rockford, IL

NPI number 1790728236 Active

Practice location

7117 Crimson Ridge Dr, Suite 5
Rockford, IL 61107-6208

Mailing address

7117 Crimson Ridge Dr., Suite 5
Rockford, IL 61107

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019-019019783 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1790728236

John Barry Tillis, DMD's National Provider Identifier is 1790728236, issued on Jun 13, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rockford, IL. The record was last updated on Aug 28, 2007.