SearchFlorida1223E0200X

Tavis Sisson, D.M.D

NPI 1497195549 · on the registry since 2013

Practice

Address
5122 Dr Phillips Blvd
Orlando, FL 32819
Phone
(407) 434-8344
Organisation at this address
Sage Dental Of Windermere Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
1223G0001X
1223G0001X
Licence states on file
FL, TN, SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida