Nicol, Bruce R

Nicol, Bruce R is an individual health care provider with primary practice located at 2533 Larkin Rd Suite 204, Lexington KY 40503-3278. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Pediatric Dentistry, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Nicol, Bruce R can be contacted via phone (859) 278-9376.

Contact Information

Primary practice address
2533 Larkin Rd Suite 204 Lexington KY 40503-3278
Phone: (859) 278-9376
Fax: (859) 276-0260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4461 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4461 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 4461 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4461 Kentucky

Profile Details

NPI number 1740237064
LBN Legal business name Nicol, Bruce R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Feb 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740237064 NPPES
Kentucky MEDICAID 60044617
Kentucky MEDICAID 64229974

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