Philip M. Nisco, D.D.S., Inc

LBN: Philip M. Nisco, D.D.S., Inc
Philip M. Nisco, D.D.S., Inc is an health care organization with primary practice located at 17720 Newhope St Suite #227, Fountain Valley CA 92708. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Philip M. Nisco, D.D.S., Inc can be contacted via phone (714) 979-1400, or through Nisco, Philip Matthew via phone (714) 979-1400.

Contact Information

Primary practice address
17720 Newhope St Suite #227 Fountain Valley CA 92708
Phone: (714) 979-1400
Fax: (714) 979-1403
Website:
Map and Directions
Authorized official contact:
Name: Nisco, Philip Matthew Doctor of Dental Surgery (DDS)
Phone: (714) 979-1400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 032598 California

Profile Details

NPI number 1194913673
LBN Legal business name Philip M. Nisco, D.D.S., Inc
DBA Doing business as
Authorized official Nisco, Philip Matthew Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 7th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194913673 NPPES
California Other G92261-01 DENTI-CAL

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