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Dr. Larry Wayne Nissen, DDS
Oral and Maxillofacial Surgery (Dentist) in Merritt Island, Florida
NPI 1386777183

Larry Wayne Nissen is a Oral and Maxillofacial Surgery (Dentist) based in Merritt Island, FL and is specialized in Oral and Maxillofacial Surgery. Larry Wayne Nissen practices in Merritt Island, FL and has the professional credentials of DDS. The NPI Number for Larry Wayne Nissen is 1386777183 and holds a License No. 7315 (Florida).

The current practice location address for Larry Wayne Nissen is 280 N Sykes Creek Pkwy, Merritt Island, FL and can be reached out via phone at 321-452-5500 and via fax at 321-452-2125.

Location: 280 N Sykes Creek Pkwy, Merritt Island, FL, 32953-3491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386777183
Provider Name
Larry Wayne Nissen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
280 N Sykes Creek Pkwy, Merritt Island, FL, 32953-3491
Phone Number
321-452-5500
Fax Number
321-452-2125
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
280 N Sykes Creek Pkwy
City
Merritt Island
State
Florida
Zip
32953-3491
Phone Number
321-452-5500
Fax Number
321-452-2125
person
Provider Business Mailing Address Details
Address
280 N Sykes Creek Pkwy
City
Merritt Island
State
Florida
Zip
32953-3491
Phone Number
321-452-5500
Fax Number
321-452-2125
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7315 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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