Broccoli, Nicholas
Broccoli, Nicholas is an individual health care provider with primary practice located at 3811 Westerre Pkwy Ste A, Henrico VA 23233-1329. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Broccoli, Nicholas can be contacted via phone (804) 354-1600.Contact Information
Primary practice address
3811 Westerre Pkwy Ste A
Henrico VA 23233-1329
Phone: (804) 354-1600
Fax: (804) 354-1607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0401417373 | Virginia |
Profile Details
| NPI number | 1235679432 |
|---|---|
| LBN Legal business name | Broccoli, Nicholas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2017 |
| Last updated | Nov 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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