Organization
JOSEPH J. NICOLS JR DDS PC
Active
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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