Individual provider · Type 1 NPI

Shannon Nissen, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Mission Viejo, CA

NPI number 1134423965 Active

Practice location

26302 La Paz Rd Ste 202
Mission Viejo, CA 92691-5328

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	56349 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1134423965

Shannon Nissen, DDS, MS's National Provider Identifier is 1134423965, issued on Jan 10, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mission Viejo, CA. The record was last updated on Sep 30, 2025.