Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497195549 Individual Practitioner Male Practitioner

Dr. Tavis M Sisson , DMD

Dentist - Endodontics • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Tavis Sisson, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Orlando, FL. Practice services are available at 5122 DR PHILLIPS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5122 Dr Phillips Blvd

Orlando, FL 328193312

Telephone 4074348344
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Orlando, FL (536 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-12
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN20224

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License TN 11507

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN 20224

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC DGD.8284 GD

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Gregory Urfrig , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1629136031

Doctor of Dental Medicine

Dr. Kejia Sun , DMD

Dentist - General Practice

NPI 1881115178

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 12, 2021

Registered at 5122 DR PHILLIPS BLVD, ORLANDO, FL 328193312 (Tel: 4074348344)

📍
Updated Business Mailing Address April 12, 2021

Registered at 5122 DR PHILLIPS BLVD, ORLANDO, FL 328193312 (Tel: 4074348344)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Dentist (License #11507 in TN)

NPI Profile Active October 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2013

Registered at 1350 GROVE PARK DR, ORANGEBURG, SC 291152455 (Tel: 8555288410)

📍
Updated Business Mailing Address October 16, 2013

Registered at 1350 GROVE PARK DR, ORANGEBURG, SC 291152455 (Tel: 8555288410)

👤
Provider Name / Credentials Updated October 16, 2013

Recorded as TAVIS SISSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2013

Dentist (License #DGD.8284 GD in SC)

🟢
Initial NPI Registration & Enumeration July 02, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497195549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2013
Last Update: April 12, 2021
Sole Proprietor: No

Mailing Address

5122 Dr Phillips Blvd

Orlando, FL 328193312

Phone: 4074348344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.