Provider Demographics
NPI:1922636380
Name:TILGER CENTER FOR DENTISTRY, PA
Entity Type:Organization
Organization Name:TILGER CENTER FOR DENTISTRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TILGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-480-6600
Mailing Address - Street 1:938 GEMINI ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2704
Mailing Address - Country:US
Mailing Address - Phone:281-480-6600
Mailing Address - Fax:
Practice Address - Street 1:938 GEMINI ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2704
Practice Address - Country:US
Practice Address - Phone:281-480-6600
Practice Address - Fax:832-827-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental