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NPI 1215249685

IndividualActive

Nicholas Misischia, DMD

NPI 1215249685 · Periodontics · Bend, OR

Provider details

NPI number: 1215249685
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: D7709 (OR)

Practice location

1569 Sw Nancy Way

Lower Level

Bend, OR 97702-3234

Phone: (541) 317-0255

Fax: (541) 317-0355

More OR providers

Mailing address

1569 Sw Nancy Way

Bend, OR 97702-3234

Registry dates

Enumerated: 2010-07-13
Last updated: 2010-07-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Nicholas Misischia, DMD — NPI 1215249685, Bend, OR | NPI Central