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Mr. Nicholas Broccoli, DDS
Oral and Maxillofacial Surgery (Dentist) in Henrico, Virginia
NPI 1235679432

Nicholas Broccoli is a Oral and Maxillofacial Surgery (Dentist) based in Richmond, VA and is specialized in Oral and Maxillofacial Surgery. Nicholas Broccoli practices in Henrico, VA and has the professional credentials of DDS. The NPI Number for Nicholas Broccoli is 1235679432 and holds a License No. 0401417373 (Virginia).

The current practice location address for Nicholas Broccoli is 3811 Westerre Pkwy, Henrico, VA and can be reached out via phone at 804-354-1600 and via fax at 804-354-1607.

Location: 3811 Westerre Pkwy, Henrico, VA, 23255-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235679432
Provider Name
Nicholas Broccoli
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3811 Westerre Pkwy, Henrico, VA, 23255-1930
Phone Number
804-354-1600
Fax Number
804-354-1607
Provider Enumeration Date
03/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3811 Westerre Pkwy
City
Henrico
State
Virginia
Zip
23233-1329
Phone Number
804-354-1600
Fax Number
804-354-1607
person
Provider Business Mailing Address Details
Address
3811 Westerre Pkwy
City
Henrico
State
Virginia
Zip
23233-1329
Phone Number
804-354-1600
Fax Number
804-354-1607
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0401417373 (Virginia)
Definition
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.
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