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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1801019443

Dr. Philip Matthew Nisco, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

17220 Newhope St Ste 227
Fountain Valley, CA 92708-4272
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 number1801019443
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007

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