Mr. Nicholas Broccoli
DDS | Oral and Maxillofacial Surgeon | 4+ years Exp
3811 Westerre Pkwy, Ste A, Henrico
Virginia, 23233-1329
804-354-1600 804-354-1607
Maps & DirectionsMr. Nicholas Broccoli is a Henrico, Virginia based Oral and Maxillofacial Surgeon with
4 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
University Of Cincinnati College Of Medicine in 2021 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Nicholas Broccoli is
0401417373 for Oral and Maxillofacial Surgery in Virginia. His current practice location is
3811 Westerre Pkwy, Ste A, Henrico. Patients can reach him at
804-354-1600.
Mr. Nicholas Broccoli deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Mr. Nicholas Broccoli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Nicholas Broccoli |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Experience: | 4+ years |
| Medical School Attended: | University Of Cincinnati College Of Medicine |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3811 Westerre Pkwy, Ste A, Henrico,
Virginia, 23233-1329 |
| Phone: | 804-354-1600 |
| Fax: | 804-354-1607 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0840569950 |
| Enrollment ID: | I20210615003048 |
| NPI Number: | 1235679432 |
| NPI Enumeration Date: | 07 Mar, 2017 |
| NPI Last Update On: | 22 Nov, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Nicholas Broccoli are as mentioned below.
| License Number | Specialization | State | Status | |
| 0401417373 | Oral and Maxillofacial Surgery | Virginia | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (490059) | Richmond, VA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Nicholas Broccoli is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Commonwealth Oral And Facial Surgery Pc (0749282853) | 8 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 71930,
Richmond, Virginia |
| Zip: | 23255-1930 |
| Phone Number: | 804-354-1600 |
| Fax Number: | 804-354-1607 |
Patients can reach Mr. Nicholas Broccoli at
3811 Westerre Pkwy, Ste A, Henrico, Virginia or can
call to book an appointment on 804-354-1600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.