Dr. Larry Lee Nillissen is a Birnamwood, Wisconsin based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Larry Lee Nillissen is
WI2723 for Dentistry in Wisconsin. His current practice location is
409a Main St, Birnamwood. Patients can reach him at
715-449-3345.
Dr. Larry Lee Nillissen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Larry Lee Nillissen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Larry Lee Nillissen |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 409a Main St, Birnamwood,
Wisconsin, 54414-0206 |
| Phone: | 715-449-3345 |
| Fax: | 715-449-3272 |
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 are as mentioned below.
| NPI Number: | 1518121284 |
| NPI Enumeration Date: | 11 Jul, 2008 |
| NPI Last Update On: | 11 Jul, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Lee Nillissen are as mentioned below.
| License Number | Specialization | State | Status | |
| WI2723 | Dentistry | Wisconsin | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 206, 409a Main St
Birnamwood, Wisconsin |
| Zip: | 54414-0206 |
| Phone Number: | 715-449-3345 |
| Fax Number: | 715-449-3272 |
Patients can reach Dr. Larry Lee Nillissen at
409a Main St, Birnamwood, Wisconsin or can
call to book an appointment on 715-449-3345.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.