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

Dr. Nathan Nissani, DDS

Individual provider Dentist · NPI 1043929185

Dr. Nathan Nissani, DDS is a Dentist in LA Puente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

864 N Hacienda Blvd
LA Puente, CA 91744-2847
Phone: (310) 720-4070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 107387 (CA)

Record details

NPI number1043929185
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 17, 2022
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing address2160 Century Park E, Los Angeles, CA 90067-2244

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