Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD JAMES NISSEN, DDS, MS
Active Sole ProprietorDR. RICHARD JAMES NISSEN, DDS, MS is a Orthodontics healthcare provider located in SAINT LOUIS, Missouri. NPI 1215046008 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1215046008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.914818314342 yrs)
- Last Updated
- Apr 16, 2019
- Licenses
-
14094 (MO)014094 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 THE BOULEVARD-ST. LOUISSAINT LOUIS, MO, 63117Browse MO providers · Browse ZIP 63117
- Phone
- 3147276162
- Fax
- 3147277259
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JULIE FAHL MCCRAY | DDS, MS | 1235129453 |
| DR. GARY HOWARD SHANKER | D.D.S | 1063498020 |
| DR. JOHN WILLIAM TABASH | DDS | 1790763506 |
| DR. MAZYAR MOSHIRI | DMD | 1093810202 |
| DR. JONATHAN A SHANKER | DDS | 1427142728 |
| DR. DEBRA F FINK | DMD, MS | 1497838163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.