Individual provider · Type 1 NPI
Peter J. Broccoli
Oral and Maxillofacial Surgery (Dentist) · Midlothian, VA
NPI number
1356921142
Active
Practice location
1807 Huguenot Rd Ste 120
Midlothian, VA 23113-5604
Mailing address
PO Box 71930
Richmond, VA 23255-1930
Other practice locations
- 7009 Lee Park Rd, Mechanicsville, VA 23111-3682 · (804) 354-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0401419456 (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.
Other oral and maxillofacial surgery (dentist) providers in Midlothian
- Gregory M. Zoghby, DDSOral and Maxillofacial Surgery (Dentist) Midlothian, VA NPI 1013967942
- Thomas A. Eschenroeder, DDSOral and Maxillofacial Surgery (Dentist) Midlothian, VA NPI 1063462869
- James C. Wallace, DDSOral and Maxillofacial Surgery (Dentist) Midlothian, VA NPI 1184721987
- Jeffrey E. Cyr, DDSOral and Maxillofacial Surgery (Dentist) Midlothian, VA NPI 1245281476
- Jeannette Zaykeeah Robertson, D.D.SOral and Maxillofacial Surgery (Dentist) Midlothian, VA NPI 1356411920
- Joseph Niamtu Iii, D.M.DOral and Maxillofacial Surgery (Dentist) Midlothian, VA NPI 1427019405
About NPI 1356921142
Peter J. Broccoli's National Provider Identifier is 1356921142, issued on Apr 14, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Midlothian, VA. The record was last updated on Jun 23, 2025.