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

Grayson Elliot Tishko, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164152468

Grayson Elliot Tishko, DDS is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Medical Center Drive G1100 Towsley Ctr
Ann Arbor, MI 48109-5222
Phone: (734) 232-6048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 2901601415 (MI)

Record details

NPI number1164152468
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1500 E. Medical Center Drive, G1100 Towsley Center, Ann Arbor, MI 48109-5222

Other providers in Ann Arbor