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

Olivia Georgianna Nillissen, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003595166

Olivia Georgianna Nillissen, DDS is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
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

8210 Floyd Curl Drive Msc 8103
San Antonio, TX 78229-3923
Phone: (210) 450-3273
Fax: (210) 450-2223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence ETN1063 (TX)

Record details

NPI number1003595166
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

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