National Provider Identifier Database

JOSEPH J NICOLS JR DDS PC
Oral and Maxillofacial Surgery

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.


Contact Information

JOSEPH J. NICOLS JR DDS PC
714 MONTAUK HWY
WEST ISLIP, NY11795-4421
Phone: 631-587-9766
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for JOSEPH J. NICOLS JR DDS PC

NPI Number 1114331253
Legal business name
LBN
JOSEPH J. NICOLS JR DDS PC
Authorized official JOSEPH NICOLS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/17/2014
Last updated 06/17/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 023442

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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