Drs Broderick Vaught & Dusek Pc in Savannah - Orthodontics And Dentofacial Orthopedics
Drs Broderick Vaught & Dusek Pc - NPI 1114017530
Drs Broderick Vaught & Dusek Pc is a Orthodontics And Dentofacial Orthopedics in Savannah, Georgia. Drs Broderick Vaught & Dusek Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Drs Broderick Vaught & Dusek Pc is 1114017530. The last update date is 2020-08-22.
Drs Broderick Vaught & Dusek Pc's current location address is 500 Eisenhower Drive, Savannah, Georgia. You can contact this provider via phone number 9123557022. The mailing address for Drs Broderick Vaught & Dusek Pc is 500 Eisenhower Drive, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Drs Broderick Vaught & Dusek Pc |
|---|---|
| Address | 500 Eisenhower Drive, Savannah, Georgia |
| Phone Number | 9123557022 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PART |
|---|---|
| Authorized Official Name | Broderick R Thomas |
| Credentials | DDS MS |
| Telephone Number | 9123557022 |
NPI Number Detail
| NPI Number | 1114017530 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 500 Eisenhower Drive |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 31406 |
| Phone Number | 9123557022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN010006 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00536335A | GA | -- |
Post Comment/ Review Below
What is the Drs Broderick Vaught & Dusek Pc's 1114017530?
The Drs Broderick Vaught & Dusek Pc's NPI (National Provider Identifier) Number is 1114017530. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Drs Broderick Vaught & Dusek Pc?
The Drs Broderick Vaught & Dusek Pc is situated at 500 Eisenhower Drive, in the city of Savannah, state of GA, with the zip code 31406.
What is Drs Broderick Vaught & Dusek Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Drs Broderick Vaught & Dusek Pc is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
When did the Drs Broderick Vaught & Dusek Pc receive its 1114017530?
The Drs Broderick Vaught & Dusek Pc was issued its 1114017530 on 2006-10-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Drs Broderick Vaught & Dusek Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Drs Broderick Vaught & Dusek Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN