Individual provider · Type 1 NPI

Louis Colacicco, DDS

Oral and Maxillofacial Surgery (Dentist) · Melville, NY

NPI number 1184702797 Active

Practice location

425 Broadhollow Rd
Melville, NY 11747-4713

Fax (631) 752-1034

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X035856 (NY)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1184702797

Louis Colacicco, DDS's National Provider Identifier is 1184702797, issued on Nov 1, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Melville, NY. The record was last updated on May 8, 2008.