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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK M. BROADAWAY, D.D.S., PC

Active Organization

DERRICK M. BROADAWAY, D.D.S., PC is a General Dentistry organization located in VIRGINIA BEACH, Virginia. NPI 1316156102 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · VIRGINIA BEACH, VA

Registration Details

NPI Number
1316156102
Provider Type
Organization
NPI Issued
May 21, 2007 (19.245452537218 yrs)
Last Updated
Apr 7, 2008

Practice Information

Address
3809 PRINCESS ANNE RD
SUITE 111
VIRGINIA BEACH, VA, 234561900
Browse VA providers · Browse ZIP 23456
Phone
7574716672
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.