Nisco, Philip Matthew
Nisco, Philip Matthew is an sole proprietor health care provider with primary practice located at 17220 Newhope St Ste 227, Fountain Valley CA 92708-4272. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Nisco, Philip Matthew can be contacted via phone (714) 979-1400.Contact Information
Primary practice address
17220 Newhope St Ste 227
Fountain Valley CA 92708-4272
Phone: (714) 979-1400
Fax: (714) 979-1403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 032598 | California |
Profile Details
| NPI number | 1801019443 |
|---|---|
| LBN Legal business name | Nisco, Philip Matthew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801019443 | NPPES |
| California | Other | G92261-01 | DENTI-CAL |
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