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Michael Tisdelle, DDS
NPI 1134208978 · General Practice Dentistry · Charlottesville, VA
Michael Tisdelle, DDS is a General Practice Dentistry provider in Charlottesville, VA (NPI 1134208978).
Provider details
- NPI number
- 1134208978
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401007112 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2216 Ivy Rd Ste 205
Charlottesville, VA 22903-4966
Phone: (434) 977-4101
Street-level locationGet directions
Mailing address
2216 Ivy Rd Ste 205
Charlottesville, VA 22903-4966
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Tisdelle's NPI number?
- Michael Tisdelle's National Provider Identifier (NPI) is 1134208978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Tisdelle's specialty?
- Michael Tisdelle is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Michael Tisdelle located?
- Michael Tisdelle's practice location on file with NPPES is 2216 Ivy Rd Ste 205, Charlottesville, VA 22903-4966.
- What is Michael Tisdelle's phone number?
- The practice phone number listed in the NPPES registry for Michael Tisdelle is (434) 977-4101.
- Is Michael Tisdelle's NPI active?
- Yes — Michael Tisdelle's NPI (1134208978) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.