Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Philip M. Nisco, DDS, Inc

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1194913673

Philip M. Nisco, DDS, Inc is an Orthodontics and Dentofacial Orthopedics Dentistry in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17720 Newhope St Ste #227
Fountain Valley, CA 92708
Phone: (714) 979-1400
Fax: (714) 979-1403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 032598 (CA)

Record details

NPI number1194913673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Nisco — Orthodontist/Owner · (714) 979-1400
NPI enumeratedOctober 9, 2007
Last updated in NPPESOctober 7, 2015
Mailing address17720 Newhope St, Suite #227, Fountain Valley, CA 92708

Other providers in Fountain Valley