Individual provider · Type 1 NPI

Philip Matthew Nisco, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Fountain Valley, CA

NPI number 1801019443 Active

Practice location

17220 Newhope St, Ste 227
Fountain Valley, CA 92708-4272

Fax (714) 979-1403

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	032598 (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 1801019443

Philip Matthew Nisco, DDS's National Provider Identifier is 1801019443, issued on Apr 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 8, 2007.