Search › Michigan › 122300000X
Scott Tisdale, DDS
NPI 1992879720 · on the registry since 2006
Practice
- Address
- 31549 Harper Ave
St Clair Shores, MI 48082 - Phone
- (586) 293-1530
- Fax
- (586) 293-1537
- Organisation at this address
- Shores Dental Center, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Michigan