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Contact Information

JOSEPH J. NICOLS JR DDS PC
714 MONTAUK HWY
WEST ISLIP, NY11795-4421
 Phone: 631-587-9766
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

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

NPI Number 1114331253
LBN Legal business name JOSEPH J. NICOLS JR DDS PC
Authorized official JOSEPH NICOLS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2014
Last updated 06/17/2014 - About 12 years ago
Identifiers
NY License # 023442
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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