Provider Demographics
NPI:1629088752
Name:PILLION, TODD EDWARD (DDS)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:EDWARD
Last Name:PILLION
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 BLOUNTVILLE HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1671
Mailing Address - Country:US
Mailing Address - Phone:423-968-9661
Mailing Address - Fax:423-968-1593
Practice Address - Street 1:350 BLOUNTVILLE HWY STE 202
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1671
Practice Address - Country:US
Practice Address - Phone:423-968-9661
Practice Address - Fax:423-968-1593
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS85601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry