Search › Missouri › 1223X0400X
Richard Nissen, DDS, MS
NPI 1215046008 · on the registry since 2006 · sole proprietor
Practice
- Address
- 31 The Boulevard-St. Louis
Saint Louis, MO 63117 - Phone
- (314) 727-6162
- Fax
- (314) 727-7259
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 1223X0400X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri