Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS BROCCOLI, DDS
ActiveMR. NICHOLAS BROCCOLI, DDS is a Oral & Maxillofacial Surgery healthcare provider located in HENRICO, Virginia. NPI 1235679432 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · HENRICO, VA
Registration Details
- NPI Number
- 1235679432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2017 (9.4047110204463 yrs)
- Last Updated
- Nov 22, 2021
- License
-
0401417373 (VA)
Practice Information
- Address
-
3811 WESTERRE PKWYSTE AHENRICO, VA, 232331329Browse VA providers · Browse ZIP 23233
- Phone
- 8043541600
- Fax
- 8043541607
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in HENRICO, VA
| Name | Credential | NPI |
|---|---|---|
| MOHAMMED KASSIM ALMANDALAWI | D.M.D | 1922363126 |
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.