MEDICARE: LISA S TILTON DDS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1750857538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA S TILTON DDS INC.

Provider Business Mailing Address
First Line	:	17742 BEACH BLVD STE 315
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6853
Country	:	US
Telephone Number	:	714-962-5545
Fax Number	:	714-594-0252

Provider Business Practice Location Address
First Line	:	17742 BEACH BLVD STE 315
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6853
Country	:	US
Telephone Number	:	714-962-5545
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LISA TILTON
Credential	:	DDS
Telephone Number	:	714-962-5545

Provider Enumeration Date	:	10/18/2018
Last Update Date	:	10/18/2018

Similar Medicare Providers

1548288822 — ANGELINE THI DAO MD
Practice Location Address:

17742 BEACH BLVD STE 301
HUNTINGTON BEACH, CA
92647-6853

Practice Phone: 714-897-7546
Practice Fax: 714-897-7549

1639252117 — DR. GLENDA BOTTOMS SECOR OD
Practice Location Address:

17742 BEACH BLVD # 305
HUNTINGTON BEACH, CA
92647-6853

Practice Phone: 714-596-4488
Practice Fax: 714-596-5522

1780769067 — DR. ROYA AFLATOONI DDS
Practice Location Address:

17742 BEACH BLVD STE 315
HUNTINGTON BEACH, CA
92647-6853

Practice Phone: 714-842-4411
Practice Fax: 714-887-8056

1215810932 — RENAE BERGERON
Practice Location Address:

1205 BARTLETT OAKS CT
VIRGINIA BEACH, VA
23456-6853

Practice Phone: 985-474-0181
Practice Fax:

1215116256 — MRS. CARLA BRYANT MITCHELL RPH
Practice Location Address:

2421 N FEDERAL HWY
POMPANO BEACH, FL
33064-6853

Practice Phone: 954-781-0778
Practice Fax: 954-946-6154

1073812756 — DR. CHRISTOPHER STRUBLE M.D.
Practice Location Address:

409 N PACIFIC COAST HWY STE 273
REDONDO BEACH, CA
90277-6853

Practice Phone: 650-450-9520
Practice Fax:

Directions to “LISA S TILTON DDS INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.