DR. MANUEL NICK TISSURA
NPI 1295981165
Dentist - Endodontics in Decatur, GA

Q: What is Manuel Tissura's NPI number?

The NPI number for Manuel Tissura is 1295981165. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Q: What is Manuel Tissura's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Manuel Tissura was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since August 12, 2008

2771 LAWRENCEVILLE HWY, SUITE 201, DECATUR, GA 30033(678) 990-8034(770) 934-7176 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Manuel Nick Tissura NPPES

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

DR. MANUEL NICK TISSURA (NPI 1295981165) is an individual endodontics provider in Decatur, Georgia, licensed in Georgia (6927) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1295981165

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. MANUEL NICK TISSURA

Location Address2771 LAWRENCEVILLE HWY, SUITE 201Decatur, GA 30033-2530

Mailing Address2771 Lawrenceville Hwy, Suite 201Decatur, GA 30033-2530 · (678) 990-8034 · Fax (770) 934-7176

Phone(678) 990-8034

Fax(770) 934-7176

Sole ProprietorNo

Enumeration DateAugust 12, 2008

✔ NPI 1295981165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in GA · 6927

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.

2771 LAWRENCEVILLE HWY, Decatur, GA 30033

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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 Manuel Tissura's NPI number?

The NPI number for Manuel Tissura is 1295981165. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Manuel Tissura located?

Manuel Tissura practices at 2771 Lawrenceville Hwy Suite 201, Decatur, GA 30033. The listed phone number is (678) 990-8034.

What is Manuel Tissura'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 Manuel Tissura was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.