MEDICARE: DR BRUCE L TILLERY DDS PA

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	1223G0001X	General Practice Dentistry	6295	KS

General Provider Information

NPI Number	:	1508877507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR BRUCE L TILLERY DDS PA

Provider Business Mailing Address
First Line	:	800 WALNUT ST
Second Line	:
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088-1238
Country	:	US
Telephone Number	:	785-945-6248
Fax Number	:	785-945-4097

Provider Business Practice Location Address
First Line	:	800 WALNUT ST
Second Line	:
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088-1238
Country	:	US
Telephone Number	:	785-945-6248
Fax Number	:	785-945-4097

Authorized Official
Title or Position	:	DENTIST OWNER
Name	:	DR. BRUCE L TILLERY
Credential	:	DDS PA
Telephone Number	:	785-945-6248

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1588496947 — ALLISON WEBER DDS
Practice Location Address:

800 WALNUT ST
VALLEY FALLS, KS
66088-1238

Practice Phone: 785-945-6248
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1124216957 — DIANE LEDFORD
Practice Location Address:

104 DUDLEY AVE
GRANITE FALLS, NC
28630-1238

Practice Phone: 828-754-8500
Practice Fax:

1073991170 — TRUE NORTH CHIROPRACTIC CENTER
Practice Location Address:

1238 EDGEWOOD DR APT 6
THIEF RIVER FALLS, MN
56701-3323

Practice Phone: 701-739-2968
Practice Fax:

1861994113 — MRS. NATASHA GARRITSON FNP-BC
Practice Location Address:

1238 FALLS RD
TOCCOA, GA
30577-2407

Practice Phone: 706-886-6090
Practice Fax: 706-898-6091

Directions to “DR BRUCE L TILLERY DDS PA ” 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.