DR. TAVIS M SISSON D.M.D. NPI 1497195549

NPI Information

NPI: 1497195549
Provider Name: DR. TAVIS M SISSON, D.M.D.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

PECOS Registration: Yes

Address:
5122 DR PHILLIPS BLVD
ORLANDO, FL
ZIP 32819
Phone: (407) 434-8344
Get Directions

DR. Tavis M Sisson, D.M.D. is an endodontics dentist in Orlando, FL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Tavis M Sisson, D.M.D. NPI is 1497195549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5122 DR PHILLIPS BLVD
ORLANDO, FL
ZIP 32819-312
Phone: (407) 434-8344

The NPI 1497195549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/2/2013 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	11507	TENNESSEE	No
2	1223E0200X	Dentist	Endodontics	DN20224	FLORIDA	Yes
3	1223G0001X	Dentist	General Practice	DGD.8284 GD	SOUTH CAROLINA	No
4	1223G0001X	Dentist	General Practice	DN 20224	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »