Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN KEITH NICOLL, DDS
Active Sole ProprietorDR. BRIAN KEITH NICOLL, DDS is a Periodontology healthcare provider located in VACAVILLE, California. NPI 1053471706 is currently active in the NPPES registry. Verify at CMS.
Periodontology · VACAVILLE, CA
Registration Details
- NPI Number
- 1053471706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.650299443991 yrs)
- Last Updated
- Jul 8, 2007
- License
-
28365 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2581 NUT TREE RDSUITE DVACAVILLE, CA, 956876915Browse CA providers · Browse ZIP 95687
- Phone
- 7074518352
- Fax
- 7074518234
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in VACAVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL REED CLARK | D.D.S | 1689870123 |
| IRENE LOUIE | DDS | 1447746581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.