Organization · Type 2 NPI
Joseph J. Nicols JR DDS PC
Oral and Maxillofacial Surgery Clinic/Center · West Islip, NY
NPI number
1114331253
Active
Practice location
714 Montauk Hwy
West Islip, NY 11795-4421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 023442 (NY) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1114331253
Joseph J. Nicols JR DDS PC's National Provider Identifier is 1114331253, issued on Jun 17, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in West Islip, NY. The record was last updated on Jun 17, 2014.