1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

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: August 09, 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.

NPPES Registry Identity

NPI1710016431
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
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
Phone(323) 665-1208
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.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 42529
Definition
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 coordination of services related to patients' oral health needs.
1112 N VIRGIL AVENUE, Los Angeles, CA 90029
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPHINE V LUA DDS
Dentist (General Practice)
1112 N VIRGIL AVENUE
LOS ANGELES, CA 90029
Los Angeles County (323) 665-1208

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 Agnes Tison's NPI number?

The NPI number for Agnes Tison is 1710016431. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Agnes Tison located?

Agnes Tison practices at 1112 N Virgil Avenue, Los Angeles, CA 90029. The listed phone number is (323) 665-1208.

What is Agnes Tison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Agnes Tison accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Agnes Tison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agnes Tison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.