John G. Broderick in Cumberland - Periodontics
John G. Broderick - NPI 1841403953
John G. Broderick is a Periodontics in Cumberland, Rhode Island. John G. Broderick practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John G. Broderick is 1841403953. The last update date is 2007-07-08.
John G. Broderick's current location address is 200 Heroux Blvd Unit 507, Cumberland, Rhode Island. You can contact this provider via phone number 4019547760 and fax number 4014217875. The mailing address for John G. Broderick is 200 Heroux Blvd Unit 507, Cumberland, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John G. Broderick |
|---|---|
| Address | 200 Heroux Blvd Unit 507, Cumberland, Rhode Island |
| Phone Number | 4019547760 |
| Fax Number | 4014217875 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1841403953 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Heroux Blvd Unit 507 |
|---|---|
| City | Cumberland |
| State | Rhode Island (RI) |
| Post Code | 28642384 |
| Phone Number | 4019547760 |
| Fax Number | 4014217875 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DEN02700 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to John G. Broderick by the Centers for Medicare & Medicaid Services?
The John G. Broderick has been assigned the NPI (National Provider Identifier) 1841403953. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John G. Broderick?
The John G. Broderick is physically situated at 200 Heroux Blvd Unit 507, in the city of Cumberland, state of RI, with the postal code 28642384.
What is John G. Broderick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John G. Broderick is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the John G. Broderick receive its 1841403953 assignment from the Centers for Medicare & Medicaid Services?
The John G. Broderick was assigned its 1841403953 by the Centers for Medicare & Medicaid Services on 2007-05-07.
When was the John G. Broderick's information last updated?
The John G. Broderick's information was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC