AGNES C TISON DDS
NPI 1710016431
Dentist - General Practice in Los Angeles, CA

Active since March 06, 2007
1112 N VIRGIL AVENUE, LOS ANGELES, CA 90029(323) 665-1208(323) 665-1203 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Agnes C Tison Dds NPPES

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

AGNES C TISON DDS (NPI 1710016431) is an individual general practice provider in Los Angeles, California, licensed in California (42529) and active in the NPI registry since March 2007.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1710016431
Entity TypeIndividualFemale
Provider Legal NameAGNES C TISONCredential: DDS
Location Address1112 N VIRGIL AVENUELos Angeles, CA 90029-2016
Mailing Address1112 N Virgil AvenueLos Angeles, CA 90029-2016 · (323) 665-1208 · Fax (323) 665-1203
Fax(323) 665-1203
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710016431 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dentist · General Practice

Taxonomy 1223G0001X · Dental Providers

Licensed in CA · 42529

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall… Show more

1112 N VIRGIL AVENUE, Los Angeles, CA 90029

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
1112 N VIRGIL AVENUE
LOS ANGELES, CA 90029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710016431, enumerated as an "individual" on March 06, 2007.

The provider is located at 1112 N VIRGIL AVENUE LOS ANGELES, CA 90029 and the phone number is (323) 665-1208.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.