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TADRISSI DDS, PLLC
NPI 1255818944
Dentist - Endodontics in Mooresville, NC

Q: What is Tadrissi Dds, PLLC's NPI number?

The NPI number for Tadrissi Dds, PLLC is 1255818944. It was assigned to this organization in the NPPES registry on July 25, 2018. The provider is doing business as Queen City Endodontics - Lake Norman.

Q: What is Tadrissi Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since July 25, 2018

150 PROFESSIONAL PARK DR STE 100, MOORESVILLE, NC 28117(704) 799-6979(704) 536-5998 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Aug 15, 2023, Jul 25, 2018 (3 updates tracked since 2018).

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About Tadrissi Dds, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TADRISSI DDS, PLLC (NPI 1255818944), doing business as Queen City Endodontics - Lake Norman, is a healthcare organization registered as an endodontics in Mooresville, North Carolina and active in the NPI registry since July 2018. The organization lists Michaela Muniz, Vp, Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1255818944

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameTADRISSI DDS, PLLC

Location Address150 PROFESSIONAL PARK DR STE 100Mooresville, NC 28117-5604

Mailing Address150 Professional Park Dr Ste 100Mooresville, NC 28117-5604 · (704) 799-6979 · Fax (704) 536-5998

Phone(704) 799-6979

Fax(704) 536-5998

Organization SubpartNo

Authorized OfficialMichaela MunizVp, Payor Relations · (469) 324-3242

Enumeration DateJuly 25, 2018

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1255818944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

150 PROFESSIONAL PARK DR STE 100, Mooresville, NC 28117

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Other Names 1

Doing Business AsQueen City Endodontics - Lake Norman

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tadrissi Dds, PLLC's NPI number?

The NPI number for Tadrissi Dds, PLLC is 1255818944. It was assigned to this organization in the NPPES registry on July 25, 2018. The provider is doing business as Queen City Endodontics - Lake Norman.

Where is Tadrissi Dds, PLLC located?

Tadrissi Dds, PLLC is located at 150 Professional Park Dr Ste 100, Mooresville, NC 28117. The listed phone number is (704) 799-6979.

What is Tadrissi Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Tadrissi Dds, PLLC was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.