Tilley, Martin George

Tilley, Martin George is an sole proprietor health care provider with primary practice located at 516 W 39Th St Suite D Tower Plaza, Kearney NE 68845-2881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tilley, Martin George can be contacted via phone (308) 865-2577.

Contact Information

Primary practice address
516 W 39Th St Suite D Tower Plaza Kearney NE 68845-2881
Phone: (308) 865-2577
Fax: (308) 234-9526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 16420 Nebraska
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4560 Nebraska

Profile Details

NPI number 1134295389
LBN Legal business name Tilley, Martin George
Credentials M.D., D.D.S., P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Sep 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134295389 NPPES
Nebraska Other 3663 BLUE CROSS BLUE SHIELD
Nebraska MEDICAID 47067456101 BLUE CROSS BLUE SHIELD
Nebraska Other 5400 BLUE CROSS BLUE SHIELD

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