DR. Bruce R Nicol, DMD

NPI #1740237064 in Lexington, Kentucky

Provider Information

NPI Number: 1740237064
Entity Type: Individual
Name: DR. Bruce R Nicol, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DMD
Enumeration Date: May 30, 2006
Last Updated: Feb 10, 2016

Practice Location

Address: 2533 LARKIN RD
Address 2: SUITE 204
City: Lexington
State: Kentucky
ZIP Code: 40503-3278
Phone: (859) 278-9376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Oral & Maxillofacial Surgery	204E00000X	Primary

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