Individual provider · Type 1 NPI

Richard James Nissen, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · St. Louis, MO

NPI number 1215046008 Active

Practice location

31 The Boulevard-St. Louis
St. Louis, MO 63117

Fax (314) 727-7259

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	14094 (MO)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	014094 (MO)

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 1215046008

Richard James Nissen, DDS, MS's National Provider Identifier is 1215046008, issued on Aug 29, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Louis, MO. The record was last updated on Apr 16, 2019.