Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Robert J Licul, DDS

Individual provider Oral and Maxillofacial Pathology Dentistry · NPI 1700869765

Dr. Robert J Licul, DDS is an Oral Surgery in Westbury, New York. Graduated from State University of New York at Buffalo School of Medicine in 1992, 34 years ago. Practices with Long Island Oral Surgery Associates, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

959 Brush Hollow Rd
Westbury, NY 11590-1778
Phone: (516) 333-5900
Fax: (516) 333-5868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 044656 (NY)

Record details

NPI number1700869765
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESApril 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Long Island Oral Surgery Associates — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount