Nissen, Shannon

Nissen, Shannon is an individual health care provider with primary practice located at 26302 La Paz Rd Ste 202 , Mission Viejo CA 92691-5328. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Nissen, Shannon can be contacted via phone (848) 830-4101.

Contact Information

Primary practice address
26302 La Paz Rd Ste 202 Mission Viejo CA 92691-5328
Phone: (848) 830-4101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 56349 California

Profile Details

NPI number 1134423965
LBN Legal business name Nissen, Shannon
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2011
Last updated Jan 10th, 2011 - about 14 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.

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