Dr Gary S Tisch, DDS is a
Dentist - General Practice based in Shaker Hts., Ohio. Dr Gary S Tisch is licensed to practice in Ohio (license number 30-01-6250) and his current practice location is
20475 Farnsleigh Road, Suite 210, Shaker Hts., Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 751-5555.
NPI number for Dr Gary S Tisch is 1316223670 and his current mailing address is 20475 Farnsleigh Road, Suite 210, Shaker Hts., Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316223670.
Healthcare Provider's Profile
Full Name | Dr Gary S Tisch |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 20475 Farnsleigh Road, Shaker Hts., Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316223670
- Provider Enumeration Date: 10/31/2011
- Last Update Date: 10/31/2011
Medical Identifiers
Medical identifiers for Dr Gary S Tisch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316223670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 30-01-6250 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary S Tisch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gary S Tisch, DDS 20475 Farnsleigh Road, Suite 210, Shaker Hts., OH 44122 Ph: (216) 751-5555 | Dr Gary S Tisch, DDS 20475 Farnsleigh Road, Suite 210, Shaker Hts., OH 44122 Ph: (216) 751-5555 |
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