Anthony C Broccoli Jr Dmd Inc in Andover - Orthodontics And Dentofacial Orthopedics
Anthony C Broccoli Jr Dmd Inc - NPI 1508088857
Anthony C Broccoli Jr Dmd Inc is a Orthodontics And Dentofacial Orthopedics in Andover, Massachusetts. Anthony C Broccoli Jr Dmd Inc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Anthony C Broccoli Jr Dmd Inc is 1508088857. The last update date is 2007-10-12.
Anthony C Broccoli Jr Dmd Inc's current location address is 15 Central St, Andover, Massachusetts. You can contact this provider via phone number 9784750450. The mailing address for Anthony C Broccoli Jr Dmd Inc is 15 Central St, Andover, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anthony C Broccoli Jr Dmd Inc |
|---|---|
| Address | 15 Central St, Andover, Massachusetts |
| Phone Number | 9784750450 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Broccoli C Anthony |
| Credentials | DMD |
| Telephone Number | 9784750450 |
NPI Number Detail
| NPI Number | 1508088857 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 15 Central St |
|---|---|
| City | Andover |
| State | Massachusetts (MA) |
| Post Code | 1810 |
| Phone Number | 9784750450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 16891 |
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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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What is the unique 10-digit identifier code assigned to Anthony C Broccoli Jr Dmd Inc by the Centers for Medicare & Medicaid Services?
The Anthony C Broccoli Jr Dmd Inc has been issued the NPI (National Provider Identifier) 1508088857 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Anthony C Broccoli Jr Dmd Inc?
The Anthony C Broccoli Jr Dmd Inc is physically situated at 15 Central St, in the city of Andover, state of MA, with the postal code 1810.
What is the Anthony C Broccoli Jr Dmd Inc's specialty and taxonomy code?
The Anthony C Broccoli Jr Dmd Inc's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Anthony C Broccoli Jr Dmd Inc receive the assignment of its 1508088857 from the Centers for Medicare & Medicaid Services?
The Anthony C Broccoli Jr Dmd Inc was issued its 1508088857 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the details pertaining to Anthony C Broccoli Jr Dmd Inc last refreshed?
The information related to the Anthony C Broccoli Jr Dmd Inc, including its address, specialty, and other relevant details, was last updated on 2007-10-12.