DR. DERRICK BROADAWAY, DDS
Dentist - General Practice
Active
Individual
NPI: 1336292952
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 0401007977 (VA) |
Frequently Asked Questions
NPI 1336292952 is the National Provider Identifier for DR. DERRICK BROADAWAY, DDS, a Dentist - General Practice provider located in Hampton, VA. This NPI was enumerated on January 18, 2007.
DR. DERRICK BROADAWAY, DDS practices at 3709 KECOUGHTAN RD, Hampton, VA 23669.
Quick Facts
- NPI
- 1336292952
- Type
- Individual
- Enumerated
- Jan 18, 2007
- Last Updated
- Nov 27, 2023
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