Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT J LICUL, D.D.S.
ActiveDR. ROBERT J LICUL, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in WESTBURY, New York. NPI 1700869765 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · WESTBURY, NY
Registration Details
- NPI Number
- 1700869765
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2005 (20.76082295872 yrs)
- Last Updated
- Apr 17, 2008
- License
-
044656 (NY)
Practice Information
- Address
-
959 BRUSH HOLLOW RDWESTBURY, NY, 115901778Browse NY providers · Browse ZIP 11590
- Phone
- 5163335900
- Fax
- 5163335868
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.