Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grayson Elliot Tishko, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164152468

Grayson Elliot Tishko, DDS is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ann Arbor, MI

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 2901601415 (MI)

Record details

NPI number1164152468
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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