DR. Larry Wayne Nissen, DDS is an oral and maxillofacial surgery dentist in Merritt Island, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Larry Wayne Nissen, DDS NPI is 1386777183. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
280 N SYKES CREEK PKWY
SUITE C
MERRITT ISLAND, FL
ZIP 32953-491
Phone: (321) 452-5500
Fax: (321) 452-2125
The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/8/2007.