Individual provider · Type 1 NPI

Nicholas Robert Bussa

Dentist · St. Louis Park, MN

NPI number 1679964357 Active

Practice location

4600 Excelsior Blvd
St. Louis Park, MN 55416-4938

Other practice locations

  • 604 Bielenberg Dr Ste 230, Woodbury, MN 55125-1733 · (612) 279-5410

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD13556 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1679964357

Nicholas Robert Bussa's National Provider Identifier is 1679964357, issued on Feb 17, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 6, 2026.