DR. MANUEL NICK TISSURA NPI 1295981165

NPI Information

  • NPI: 1295981165
  • Provider Name: DR. MANUEL NICK TISSURA
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 2771 LAWRENCEVILLE HWY
    SUITE 201
    DECATUR, GA
    ZIP 30033
  • Phone: (678) 990-8034

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NPI Details

DR. Manuel Nick Tissura is an endodontics dentist in Decatur, GA. 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. Manuel Nick Tissura NPI is 1295981165. 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:

2771 LAWRENCEVILLE HWY
SUITE 201
DECATUR, GA
ZIP 30033-530
Phone: (678) 990-8034
Fax: (770) 934-7176

The enumeration date for this NPI number is 8/12/2008 and was last updated on 8/12/2008.

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
11223E0200XDentistEndodontics6927GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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