Tavis M. Sisson, D.M.D.

Endodontics · Orlando, FL

Individual Active NPI

NPI number 1497195549

Practice location

5122 Dr Phillips Blvd
Orlando, FL 32819-3312
Phone
(407) 434-8344

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NPI record

NPI
1497195549
Entity type
Individual (Type 1)
Enumeration date
July 2, 2013
Last updated
April 12, 2021
Certified
April 12, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X DN20224 FL
Endodontics 1223E0200X 11507 TN
General Practice Dentistry 1223G0001X DN 20224 FL
General Practice Dentistry 1223G0001X DGD.8284 GD SC

About Dr. Sisson

Tavis M. Sisson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 5122 Dr Phillips Blvd, Orlando, FL 32819-3312. The NPI number 1497195549 was assigned on July 2, 2013 and the record was last updated on April 12, 2021.

Dr. Sisson lists 4 licenses in the registry: #DN20224 (FL) for Endodontics; #11507 (TN) for Endodontics; #DN 20224 (FL) for General Practice Dentistry; #DGD.8284 GD (SC) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tavis M. Sisson, D.M.D.?

The NPI number is 1497195549.

What is the phone number of Dr. Sisson?

The phone number listed for the practice location is (407) 434-8344.

Where is Dr. Sisson located?

5122 Dr Phillips Blvd, Orlando, FL 32819-3312.

What is the taxonomy code for Dr. Sisson?

The primary taxonomy code is 1223E0200X – Endodontics; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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