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

Peter J Broccoli

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1356921142

Peter J Broccoli is an Oral and Maxillofacial Surgery (Dentist) in Midlothian, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

1807 Huguenot Rd Ste 120
Midlothian, VA 23113-5604
Phone: (804) 354-1600
Show map & directions

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

Additional practice locations (1)

  • 7009 Lee Park Rd, Mechanicsville, VA 23111-3682 — (804) 354-1600

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0401419456 (VA)

Record details

NPI number1356921142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing addressPo Box 71930, Richmond, VA 23255-1930

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