NPI 1679901581 · live from the CMS NPI Registry
Thomas Broderick, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Savannah, GA. National Provider Identifier 1679901581, active.
NPI record
| NPI | 1679901581 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 500 Eisenhower Dr, Savannah, GA 31406 |
| Practice phone | 912-355-7022 |
| Enumerated | October 31, 2013 |
| Last updated | October 31, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 10006 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.