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

DR. DERRICK MAURICE BROADAWAY, DDS

Active

DR. DERRICK MAURICE BROADAWAY, DDS is a General Dentistry healthcare provider located in HAMPTON, Virginia. NPI 1336292952 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · HAMPTON, VA

Registration Details

NPI Number: 1336292952
Provider Type: Individual
Gender: Male
NPI Issued: Jan 18, 2007 (19.58798706523 yrs)
Last Updated: Nov 27, 2023
License: 0401007977 (VA)

Practice Information

Address: 3709 KECOUGHTAN RD

HAMPTON, VA, 236694405
Browse VA providers · Browse ZIP 23669
Phone: 7577228507
Fax: 7576908765
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in HAMPTON, VA

Name	Credential	NPI
DR. MASOUD MILANI	D.M.D.	1316931132
DR. JOELLE L.M HENDRICKSON-HAIRSTON	DDS	1407833809
DR. MICHAEL L. HUTCHINGS	DDS	1427035807
DR. DAVID BOWERS	DMD	1336126333
DR. MICHAEL WAYNE FOX	DDS	1275509366
DR. STEVEN L DANNENBERG	D.D.S.	1245299528

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.