RUEDIGER TILLMANN (NPI# 1710074646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710074646 |
| Entity Type | Individual |
| Full Name | RUEDIGER TILLMANN |
| Credential | DDS |
| Practice Address |
5872 S 900 E 202 Salt Lake City UT 84121-1676 |
| Practice Telephone | 8012818433 |
| Practice Fax Number | 8012818455 |
| Mailing Telephone | 8012818433 |
| Mailing Fax Number | 8012818455 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
142274 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | AETNA INSURANCE | 0005762263 | 01 |
| UT | ALTIUS/MONARCH INSURANCE | 0196 | 01 |
| TX | PUBLIC EMPLOYEES INSURAN | 14705 | 01 |
| Street Address |
5872 S 900 E 202 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285644682 | Mark W Lee | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| 1063895126 | Quinlin T Card | Audiologist | 5872 S 900 E, Ste 175, Salt Lake City, UT 84121-1676 | 2015-07-07 |
| 1760884266 | Madison Splan | Physical Therapist | 5872 S 900 E, Suite 150, Salt Lake City, UT 84121-1676 | 2014-09-16 |
| 1548683410 | Mark Miles Passey Md PC | Clinic/Center | 5872 S 900 E, 250, Salt Lake City, UT 84121-1676 | 2014-01-29 |
| 1366748121 | Ruediger Tillmann Dds | Dentist | 5872 S 900 E, Ste 202, Salt Lake City, UT 84121-1676 | 2011-01-26 |
| 1295067189 | Innovative Counseling | Community/Behavioral Health | 5872 S 900 E, Ste 185, Salt Lake City, UT 84121-1676 | 2010-02-03 |
| 1013174739 | Sylvia Brunisholz | Social Worker | 5872 S 900 E, Ste 185, Salt Lake City, UT 84121-1676 | 2008-05-20 |
| 1972710390 | Lawrence W Lauro | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2007-05-16 |
| 1073523551 | Maurice G Baker | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| 1598775074 | Michael Andrew Gomez | Physician Assistant | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1437772498 | Jordan Ames Whatcott | Dentist | 5888 S 900 E Ste 101, Salt Lake City, UT 84121-1644 | 2020-05-26 |
| 1043871783 | Morgan Park | Dentist | 223 S 700 E Ste 3, Salt Lake City, UT 84102-2174 | 2019-06-24 |
| 1730647330 | Salt Lake Modern Dentistry, LLP | Dentist | 1028 E 2100 S Ste 3, Salt Lake City, UT 84106-3096 | 2019-03-04 |
| 1336615244 | Jordan Heimer | Dentist | 1386 S Green St, Salt Lake City, UT 84105-2137 | 2018-10-18 |
| 1558852269 | Eric Gordon Russell | Dentist | 4465 S 900 E Ste 100, Salt Lake City, UT 84124-2695 | 2018-05-29 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1538687207 | Community Health Centers, Inc. | Dentist | 1078 S 300 E # 4, Salt Lake City, UT 84111-4638 | 2017-09-01 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1437682002 | Salt Lake Dental Care | Dentist | 279 E 5900 S Ste 202, Salt Lake City, UT 84107-5425 | 2017-04-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.