DR. NADINE NITISUSANTA DMD
NPI 1518334044
Dentist in Ocoee, FL

Q: What is Nadine Nitisusanta's NPI number?

The NPI number for Nadine Nitisusanta is 1518334044. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Q: What is Nadine Nitisusanta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 01, 2015

2704 REW CIR STE 103, OCOEE, FL 34761(407) 877-9003 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nadine Nitisusanta Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NADINE NITISUSANTA DMD (NPI 1518334044) is an individual dentist in Ocoee, Florida, licensed in Florida (DN21548) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1518334044

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. NADINE NITISUSANTACredential: DMD

Location Address2704 REW CIR STE 103Ocoee, FL 34761-2994

Mailing Address10048 Brandon CirOrlando, FL 32836-3714 · (407) 877-9003

Phone(407) 877-9003

Sole ProprietorYes

Enumeration DateSeptember 1, 2015

✔ NPI 1518334044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN21548

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN21548 (FL)

2704 REW CIR STE 103, Ocoee, FL 34761

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nadine Nitisusanta's NPI number?

The NPI number for Nadine Nitisusanta is 1518334044. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Nadine Nitisusanta located?

Nadine Nitisusanta practices at 2704 Rew Cir Ste 103, Ocoee, FL 34761. The listed phone number is (407) 877-9003.

What is Nadine Nitisusanta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nadine Nitisusanta accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Nadine Nitisusanta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nadine Nitisusanta was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.