Individual provider · Type 1 NPI

Scott B. Tisdale, DDS

Dentist · St. Clair Shores, MI

NPI number 1992879720 Active

Practice location

31549 Harper Ave
St. Clair Shores, MI 48082

Fax (586) 293-1537

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901015365 (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1992879720

Scott B. Tisdale, DDS's National Provider Identifier is 1992879720, issued on Nov 20, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 8, 2007.