NPI age
14 years
Enumerated 2011-12-18
● Active
Type 1 · Individual
Henry Young Tillman III, D.D.S.
Tillman is 1 of 2 dentist providers in Hahira and 1 of 4309 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4309 active dentist providers in Georgia.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Practice location
950 Hwy 122 W
Hahira, GA 316321061
Mailing address
Po Box 554
Hahira, GA 316320554
Specialties
-
Dentist PrimaryA 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.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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