SearchWisconsinGeneral Practice Dentistry

Orissa Nitibhon, DMD

NPI 1902672066 · on the registry since 2023

Practice

Address
460 Crescent St
Menomonie, WI 54751
Phone
(715) 972-9975
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin