Individual provider · Type 1 NPI
Stephane Tisseront, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Reston, VA
Practice location
11720 Plaza America Dr, Suite 110
Reston, VA 20190-4757
Fax (703) 773-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 0401008928 (VA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Other orthodontics and dentofacial orthopedics dentistry providers in Reston
About NPI 1013100601
Stephane Tisseront, DDS, MS's National Provider Identifier is 1013100601, issued on Aug 27, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Reston, VA. The record was last updated on Aug 29, 2007.