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Dr. Michael Tisdelle, DDS
General Practice Dentistry in Charlottesville, Virginia
NPI 1134208978

Michael Tisdelle is a General Practice Dentistry based in Charlottesville, VA and is specialized in General Practice. Michael Tisdelle practices in Charlottesville, VA and has the professional credentials of DDS. The NPI Number for Michael Tisdelle is 1134208978 and holds a License No. 0401007112 (Virginia).

The current practice location address for Michael Tisdelle is 2216 Ivy Rd Ste 205, Charlottesville, VA and can be reached out via phone at 434-977-4101.

Location: 2216 Ivy Rd Ste 205, Charlottesville, VA, 22903-4966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134208978
Provider Name
Michael Tisdelle
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2216 Ivy Rd Ste 205, Charlottesville, VA, 22903-4966
Phone Number
434-977-4101
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2216 Ivy Rd Ste 205
City
Charlottesville
State
Virginia
Zip
22903-4966
Phone Number
434-977-4101
Fax Number
person
Provider Business Mailing Address Details
Address
2216 Ivy Rd Ste 205
City
Charlottesville
State
Virginia
Zip
22903-4966
Phone Number
434-977-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401007112 (Virginia)
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.
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