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

Jisha Tony Panicker

Individual provider General Practice Dentistry · NPI 1952153314

Jisha Tony Panicker is a General Practice Dentistry in Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

6111 S Cedar St
Lansing, MI 48911-5714
Phone: (517) 393-3447
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901602091 (MI)

Record details

NPI number1952153314
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 11, 2024
Mailing address1854 S Pennfield Ln, Canton, MI 48188-2559

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