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NPI Code Detail

MEDICARE: DR. NICOLAS HOMSI DDS

MEDICARE:  DR. NICOLAS  HOMSI  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)85698-875WI

General Provider Information

NPI Number : 1578446415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLAS HOMSI DDS
Provider Business Mailing Address
First Line : PO BOX 1881
Second Line :
City : MILWAUKEE
State : WI
Zip : 53201-1881
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 1881
Second Line :
City : MILWAUKEE
State : WI
Zip : 53201-1881
Country : US
Telephone Number : 414-288-6790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2025
Last Update Date : 08/20/2025

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Directions to “ DR. NICOLAS HOMSI DDS” Practice Location

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