Individual
THOMAS ULICNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2299 BRODHEAD RD STE F, BETHLEHEM, PA 18020-8990
(610) 882-1501
Mailing address
28 CURTIS PL, LYNBROOK, NY 11563-2010
(516) 418-7905
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
063021
NY
1223P0300X
Periodontics
22DI02724600
NJ
1223P0300X
Periodontics
Primary
DS043312
PA
Other
Enumeration date
07/01/2021
Last updated
08/30/2025
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