Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY JOSEPH BROUDER, D.D.S.
Active Sole ProprietorDR. TIMOTHY JOSEPH BROUDER, D.D.S. is a General Dentistry healthcare provider located in MT PROSPECT, Illinois. NPI 1790824167 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MT PROSPECT, IL
Registration Details
- NPI Number
- 1790824167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2007 (19.535777090253 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 S EMERSON STMT PROSPECT, IL, 600563259Browse IL providers · Browse ZIP 60056
- Phone
- 8475770199
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MT PROSPECT, IL
| Name | Credential | NPI |
|---|---|---|
| DR. THEODORE JOHN BORRIS | D.D.S. | 1770590135 |
| DR. JOHN ANDREW MANTANES | DDS | 1316055577 |
| DR. BIANCA MALIN | DDS | 1770654253 |
| BEATA REGINA DEVIRION | DDS | 1154493187 |
| SHERRI L MIYAGI | DDS PC | 1639246028 |
| DR. KANA YAJIMA | D.D.S | 1720126303 |
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.