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

Dr. Orissa Nitibhon, DMD

Individual provider General Practice Dentistry · NPI 1902672066

Dr. Orissa Nitibhon, DMD is a General Practice Dentistry in Menomonie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

460 Crescent St
Menomonie, WI 54751-1827
Phone: (715) 972-9975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6001518-15 (WI)

Record details

NPI number1902672066
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 29, 2023
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address1260 Milton Ave, Janesville, WI 53545-1889

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