Organization
JOSEPH J. NICOLS JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JAMES NICOLS JR. D.D.S. (PRESIDENT)
(631) 587-9766
Entity
Organization
Contact information
Practice address
714 MONTAUK HWY, WEST ISLIP, NY 11795-4421
(631) 587-9766
Mailing address
714 MONTAUK HWY, WEST ISLIP, NY 11795-4421
(631) 587-9766
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
023442
NY
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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