Individual
MITCHELL NISENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 STOCKTON DR, TOMS RIVER, NJ 08755-6433
(732) 363-6655
Mailing address
10 STOCKTON DR, TOMS RIVER, NJ 08755-6433
(732) 363-6655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02789800
NJ
Other
Enumeration date
05/09/2020
Last updated
03/04/2026
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