DR. SHANNON NISSEN, DDS, MS
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1134423965
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 56349 (CA) |
Frequently Asked Questions
NPI 1134423965 is the National Provider Identifier for DR. SHANNON NISSEN, DDS, MS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Mission Viejo, CA. This NPI was enumerated on January 10, 2011.
DR. SHANNON NISSEN, DDS, MS practices at 26302 LA PAZ RD STE 202, Mission Viejo, CA 92691.
Quick Facts
- NPI
- 1134423965
- Type
- Individual
- Enumerated
- Jan 10, 2011
- Last Updated
- Sep 30, 2025
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