IndividualActive
Robert Licul, D.D.S.
NPI 1700869765 · Oral and Maxillofacial Pathology Dentistry · Westbury, NY
Provider details
- NPI number
- 1700869765
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 044656 (NY)
Specialties & taxonomies
Dental Providers
Practice location
959 Brush Hollow Rd
Westbury, NY 11590-1778
Phone: (516) 333-5900
Fax: (516) 333-5868
Approximate (ZIP-level) locationGet directions
Mailing address
959 Brush Hollow Rd
Westbury, NY 11590-1778
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2008-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.