| Dr Bruce L Tillery Dds Pa | |
|
800 Walnut St Valley Falls KS 66088-1238 | |
| (785) 945-6248 | |
| (785) 945-4097 |
| Full Name | Dr Bruce L Tillery Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 Walnut St, Valley Falls, Kansas |
| Authorized Official Name and Position | Bruce L Tillery (DENTIST OWNER) |
| Authorized Official Contact | 7859456248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce L Tillery Dds Pa 800 Walnut St Valley Falls KS 66088-1238 Ph: (785) 945-6248 | Dr Bruce L Tillery Dds Pa 800 Walnut St Valley Falls KS 66088-1238 Ph: (785) 945-6248 |
| NPI Number | 1508877507 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508877507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6295 (Kansas) | Primary |
Tonganoxie Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Walnut Street, Valley Falls, KS 66088 Phone: 785-945-6248 Fax: 785-945-6249 |