Individual provider · Type 1 NPI
Nicholas Broccoli, DDS
Oral and Maxillofacial Surgery (Dentist) · Henrico, VA
Practice location
3811 Westerre Pkwy, Ste A
Henrico, VA 23233-1329
Fax (804) 354-1607
Mailing address
PO Box 71930
Richmond, VA 23255-1930
Other practice locations
- 8503 Patterson Ave Ste A, Richmond, VA 23229-6442 · (804) 354-1600
- 5942 Harbour Park Dr, Midlothian, VA 23112-2163 · (804) 354-1600
- 12220 Iron Bridge Rd Ste B, Chester, VA 23831-1543 · (804) 354-1600
- 1807 Huguenot Rd Ste 120, Midlothian, VA 23113-5604 · (804) 354-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0401417373 (VA) |
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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Henrico
About NPI 1235679432
Nicholas Broccoli, DDS's National Provider Identifier is 1235679432, issued on Mar 7, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Henrico, VA. The record was last updated on Nov 22, 2021.