DR. ROBERT JOHN TISOT D.M.D. - NPI 1740499144

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Dr. Robert John Tisot D.m.d. NPPES

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

DR. ROBERT JOHN TISOT D.M.D. (NPI 1740499144) is an individual periodontics provider in Cherry Hill, New Jersey, licensed in New Jersey (22DI00764600) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1740499144

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. ROBERT JOHN TISOTCredential: D.M.D.

Location Address820 KINGS HWY SCherry Hill, NJ 08034-2520

Mailing Address820 Kings Hwy SCherry Hill, NJ 08034-2520 · (856) 428-8822

Phone(856) 428-8822

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740499144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NJ · 22DI00764600

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

820 KINGS HWY S, Cherry Hill, NJ 08034

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