Philip M. Nisco, D.d.s., Inc
Orthodontics and Dentofacial Clinic
17720 Newhope St, Suite #227, Fountain Valley
California, 92708
714-979-1400 714-979-1403
Maps & DirectionsPhilip M. Nisco, D.d.s., Inc is a Orthodontics and Dentofacial Clinic in Fountain Valley, California. It is located at 17720 Newhope St, Suite #227, Fountain Valley, CA and its contact number is 714-979-1400. The authorized person for Philip M. Nisco, D.d.s., Inc is Dr. Philip Matthew Nisco
who is Orthodontist/owner of the clinic and their contact number is 714-979-1400. The primary license number for Philip M. Nisco, D.d.s., Inc is 032598 (Orthodontics and Dentofacial Orthopedics) in California.
Philip M. Nisco, D.d.s., Inc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Philip M. Nisco, D.d.s., Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Philip M. Nisco, D.d.s., Inc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 17720 Newhope St, Suite #227, Fountain Valley,
California, 92708 |
| Phone: | 714-979-1400 |
| Fax: | 714-979-1403 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Philip Matthew Nisco |
| Position: | Orthodontist/owner |
| Contact Number: | 714-979-1400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Philip M. Nisco, D.d.s., Inc clinic are as mentioned below.
| NPI Number: | 1194913673 |
| NPI Enumeration Date: | 09 Oct, 2007 |
| NPI Last Update On: | 07 Oct, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Philip M. Nisco, D.d.s., Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 032598 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G92261-01 | Other | California | Denti-cal |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Philip M. Nisco, D.d.s., Inc
17720 Newhope St, Suite #227
Fountain Valley, California |
| Zip: | 92708 |
| Phone Number: | 714-979-1400 |
| Fax Number: | 714-979-1403 |
Patients can reach Philip M. Nisco, D.d.s., Inc at
17720 Newhope St, Suite #227, Fountain Valley, California or can
call to book an appointment on 714-979-1400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.