Robert L Nisson
Orthodontists
3210 Royal Dr
Cameron Park
, California 95682-8506
Robert L Nisson
Orthodontists
3210 Royal Dr
Cameron Park
, California 95682-8506
(530) 677-1680
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Robert L Nisson
- 3210 Royal Drive
- Cameron Park, CA
- Zip : 95682-8506
- Fax : (530) 677-1680
- Phone : (530) 677-1769
Second Address
- Robert L Nisson
- 3210 Royal Dr
- Cameron Park, CA
- Zip : 95682-8506
- Fax : (530) 677-1680
- Phone : (530) 677-1769
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 34749 | CA |
National Provider Identifier
| NPI | 1023241452 |
|---|---|
| Provider Name | Robert L Nisson |
| First Address | Cameron Park, CA 95682-8506 |
| Second Address | Cameron Park, CA 95682-8506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.