Search › Virginia › 1223S0112X
Nicholas Broccoli, DDS
NPI 1235679432 · on the registry since 2017
Practice
- Address
- 3811 Westerre Pkwy
Ste A
Henrico, VA 23233 - Phone
- (804) 354-1600
- Fax
- (804) 354-1607
- Organisation at this address
- Short Pumps Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 8503 Patterson Ave Ste A, Richmond, VA
- 1807 Huguenot Rd Ste 120, Midlothian, VA
- 5942 Harbour Park Dr, Midlothian, VA
- 12220 Iron Bridge Rd Ste B, Chester, VA
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia