Individual
MATTHEW TISSUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 S CLAY ST STE A, GREENVILLE, MI 48838-1999
(616) 881-2545
Mailing address
112 S CLAY ST STE A, GREENVILLE, MI 48838-1999
(616) 881-2545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290102184
MI
Other
Enumeration date
05/18/2016
Last updated
01/23/2025
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