Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN PAUL BRODERSON, D.D.S.
ActiveGeneral Dentistry · SANTA FE, NM
Registration Details
- NPI Number
- 1821062746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2006 (20.178814121329 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2318 (NM)
Practice Information
- Address
-
7 AVENIDA VISTA GRANDENO.108SANTA FE, NM, 875089198Browse NM providers · Browse ZIP 87508
- Phone
- 5057573456
- Fax
- 5057573456
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| EDMUND L TRUJILLO | DDS | 1467447706 |
| DR. ALFRED NMN OTERO JR. | DDS | 1841271335 |
| KATHRYNE FENG | DDS | 1750367694 |
| DR. KENNETH WAYNE VANSICKLE JR. | D.M.D | 1033196118 |
| DR. MICHAEL H GALLEGOS | D.D.S. | 1639132715 |
| EZLEN RONALD TRUJILL | DDS | 1154347201 |
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.