OrganizationActive
Joseph J. Nicols Jr DDS PC
NPI 1114331253 · Oral and Maxillofacial Surgery Clinic/Center · West Islip, NY
Provider details
- NPI number
- 1114331253
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Nicols, President(631) 587-9766
- License
- 023442 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
714 Montauk Hwy
West Islip, NY 11795-4421
Phone: (631) 587-9766
Approximate (ZIP-level) locationGet directions
Mailing address
714 Montauk Hwy
West Islip, NY 11795-4421
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2014-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.