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STEVEN D NISS DDS PC NPI 1659811180


NPI Information

NPI: 1659811180
Provider Name: STEVEN D NISS DDS PC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
29331 GRATIOT AVE
ROSEVILLE, MI
ZIP 48066
Phone: (586) 772-3330
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STEVEN D NISS DDS PC is a point of service in Roseville, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. STEVEN D NISS DDS PC NPI is 1659811180. The provider is registered as an organization entity type.

The provider's business location address is:

29331 GRATIOT AVE
ROSEVILLE, MI
ZIP 48066-160
Phone: (586) 772-3330
Fax: (586) 772-3332

The provider's authorized official is Steven D Niss .
The authorized official title is Dentist and has the following contact phone number (586) 772-3330.

The enumeration date for this NPI number is 3/2/2017 and was last updated on 3/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service13794MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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