Individual provider · Type 1 NPI

Joseph M. Licul, DDS

General Practice Dentistry · Middle Village, NY

NPI number 1376702720 Active

Practice location

8427 Penelope Ave
Middle Village, NY 11379-2443

Call (718) 424-5336 Map

Fax (718) 779-5023

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0000037608 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1376702720

Joseph M. Licul, DDS's National Provider Identifier is 1376702720, issued on Jun 2, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Middle Village, NY. The record was last updated on Jun 2, 2008.