Individual
DR. LARRY WAYNE NISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
280 N SYKES CREEK PKWY, SUITE C, MERRITT ISLAND, FL 32953-3491
(321) 452-5500
(321) 452-2125
Mailing address
280 N SYKES CREEK PKWY STE C, MERRITT ISLAND, FL 32953-3491
(321) 452-5500
(321) 452-2125
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7315
FL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us