Individual provider · Type 1 NPI

Brian Keith Nicoll, DDS

Periodontics · Vacaville, CA

NPI number 1053471706 Active

Practice location

2581 Nut Tree Rd, Suite D
Vacaville, CA 95687-6915

Fax (707) 451-8234

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X28365 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1053471706

Brian Keith Nicoll, DDS's National Provider Identifier is 1053471706, issued on Dec 11, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Vacaville, CA. The record was last updated on Jul 8, 2007.