Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tavis M Sisson, DMD

Individual provider Endodontics · NPI 1497195549

Dr. Tavis M Sisson, DMD is an Endodontics in Orlando, Florida. Licensed in Florida, South Carolina and Tennessee. Registered with an NPI since 2013.

Licensed in
FL, SC, TN
In the registry since
2013
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5122 Dr Phillips Blvd
Orlando, FL 32819-3312
Phone: (407) 434-8344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN20224 (FL)
Endodontics Taxonomy 1223E0200X · Licence 11507 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN 20224 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DGD.8284 GD (SC)

Record details

NPI number1497195549
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address5122 Dr Phillips Blvd, Orlando, FL 32819-3312

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