Derrick M. Broadaway, D.D.S., Pc in Chesapeake - General Practice
Derrick M. Broadaway, D.D.S., Pc - NPI 1922218684
Derrick M. Broadaway, D.D.S., Pc is a General Practice in Chesapeake, Virginia. Derrick M. Broadaway, D.D.S., Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derrick M. Broadaway, D.D.S., Pc is 1922218684. The last update date is 2020-08-22.
Derrick M. Broadaway, D.D.S., Pc's current location address is 3325 Taylor Rd, Chesapeake, Virginia. You can contact this provider via phone number 7576863033. The mailing address for Derrick M. Broadaway, D.D.S., Pc is 3325 Taylor Rd, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Derrick M. Broadaway, D.D.S., Pc |
|---|---|
| Address | 3325 Taylor Rd, Chesapeake, Virginia |
| Phone Number | 7576863033 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE O |
|---|---|
| Authorized Official Name | Broadaway M Derrick |
| Credentials | D.D.S. |
| Telephone Number | 7576863033 |
NPI Number Detail
| NPI Number | 1922218684 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3325 Taylor Rd |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233213300 |
| Phone Number | 7576863033 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5259 | VA | DENTAL BENEFITS PROV# | |
| 5094 | VA | -- | |
| 5259 | VA | UNITED HEALTHCARE PROV# | |
| 864302 | VA | UNITED CONC PROV # |
Post Comment/ Review Below
What is the unique identifier code issued to Derrick M. Broadaway, D.D.S., Pc by the Centers for Medicare & Medicaid Services?
The Derrick M. Broadaway, D.D.S., Pc has been assigned the NPI (National Provider Identifier) 1922218684. 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 street address where Derrick M. Broadaway, D.D.S., Pc is physically located?
The Derrick M. Broadaway, D.D.S., Pc is physically situated at the following address: 3325 Taylor Rd, Chesapeake, VA, 233213300.
What is the area of specialization for Derrick M. Broadaway, D.D.S., Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Derrick M. Broadaway, D.D.S., Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Derrick M. Broadaway, D.D.S., Pc receive its 1922218684 assignment from the Centers for Medicare & Medicaid Services?
The Derrick M. Broadaway, D.D.S., Pc was assigned its 1922218684 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the Derrick M. Broadaway, D.D.S., Pc's details last updated?
The information pertaining to the Derrick M. Broadaway, D.D.S., Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO
NPI Number: 1174526396
Address: 6111 Deltona Blvd, Spring Hill, FL
NPI Number: 1134122047
Address: 220 W Germantown Pike Ste 250, Plymouth Meeting, PA