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
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5122 DR PHILLIPS BLVD
    ORLANDO, FL
    ZIP 32819
  • Phone: (407) 434-8344

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NPI Details

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
11223E0200XDentistEndodontics11507TENNESSEENo
21223E0200XDentistEndodonticsDN20224FLORIDAYes
31223G0001XDentistGeneral PracticeDGD.8284 GDSOUTH CAROLINANo
41223G0001XDentistGeneral PracticeDN 20224FLORIDANo

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: 11/21/2025

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