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Dr. Richard James Nissen, DDS,MS
Orthodontics and Dentofacial Orthopedic Dentist in Saint Louis, Missouri
NPI 1215046008

Richard James Nissen is a Orthodontics and Dentofacial Orthopedic Dentist based in Saint Louis, MO and is specialized in Orthodontics and Dentofacial Orthopedics. Richard James Nissen practices in Saint Louis, MO and has the professional credentials of DDS,MS. The NPI Number for Richard James Nissen is 1215046008 and holds a License No. 14094 (Missouri).

The current practice location address for Richard James Nissen is 31 The Boulevard-St. Louis, Saint Louis, MO and can be reached out via phone at 314-727-6162 and via fax at 314-727-7259.

Location: 31 The Boulevard-St. Louis, Saint Louis, MO, 63117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215046008
Provider Name
Richard James Nissen
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
31 The Boulevard-St. Louis, Saint Louis, MO, 63117
Phone Number
314-727-6162
Fax Number
314-727-7259
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14094 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
31 The Boulevard-St. Louis
City
Saint Louis
State
Missouri
Zip
63117
Phone Number
314-727-6162
Fax Number
314-727-7259
person
Provider Business Mailing Address Details
Address
31 The Boulevard-St. Louis
City
Saint Louis
State
Missouri
Zip
63117
Phone Number
314-727-6162
Fax Number
314-727-7259
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
14094 (Missouri)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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