Doctor profile · Federal record
Dr. Nadine Nitisusanta, DMD
Dentist · General Practice Dentistry · Ocoee, FL
- NPI 1518334044
- 11 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2704 Rew Cir Ste 103
Ocoee, FL 347612994
(407) 877-9003 - Mailing address
-
10048 Brandon Cir
Orlando, FL 328363714
Credentials & registration
- NPI registered
- September 2015 — 11 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Florida #DN21548
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518334044. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,346
Transactions
27
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 17 | $1,036.84 | |
| Dentsply Sirona INC | 10 | $308.66 |
By nature of payment
Frequently asked questions
What is Dr. Nadine Nitisusanta's medical specialty?
Dr. Nadine Nitisusanta practices Dentist in Ocoee, FL.
Where does Dr. Nadine Nitisusanta practice?
Dr. Nadine Nitisusanta practices at 2704 Rew Cir Ste 103, Ocoee, FL 347612994. Office phone: 4078779003.
What is Dr. Nadine Nitisusanta's NPI?
Dr. Nadine Nitisusanta's National Provider Identifier (NPI) is 1518334044, issued by NPPES.