MARTIN TILLEY, M.D., D.D.S., P.C.

Surgery Physician · KEARNEY, NE

Individual Active Opted out of Medicare NPI 1134295389

Taxonomy & licensure

Specialty	Code	Primary	License	State
Surgery Physician	208600000X	✓	16420	NE
Oral and Maxillofacial Surgery (Dentist)	1223S0112X		4560	NE

Opted out of Medicare (Oral Surgery), effective 2023-07-01 through 2027-07-01.

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.