Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP MATTHEW NISCO, DDS
Active Sole ProprietorDR. PHILIP MATTHEW NISCO, DDS is a Orthodontics healthcare provider located in FOUNTAIN VALLEY, California. NPI 1801019443 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · FOUNTAIN VALLEY, CA
Registration Details
- NPI Number
- 1801019443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.31001409615 yrs)
- Last Updated
- Jul 8, 2007
- License
-
032598 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17220 NEWHOPE STSTE 227FOUNTAIN VALLEY, CA, 927084272Browse CA providers · Browse ZIP 92708
- Phone
- 7149791400
- Fax
- 7149791403
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in FOUNTAIN VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. TERRY RAY PRACHT | D.D.S. | 1376545582 |
| KEVIN NAM KIEU | D.D.S., M.S. | 1497863765 |
| CHI BUI | DMD, MS | 1538229406 |
| HUNG V VU | D.D.S. | 1629124524 |
| DR. THOMAS P. ROSE | D.D.S., M.S. | 1881716033 |
| LAWRENCE LIN | — | 1477093318 |
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.