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

Dr. Nadine Nitisusanta, DMD

Individual provider Dentist · NPI 1518334044

Dr. Nadine Nitisusanta, DMD is a Dentist in Ocoee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2704 Rew Cir Ste 103
Ocoee, FL 34761-2994
Phone: (407) 877-9003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN21548 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN21548 (FL)

Record details

NPI number1518334044
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 1, 2015
Last updated in NPPESSeptember 1, 2015

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