Active NPIOrganization

Leonard Broverman DMD PC

Dentist, General Practice in Concord, Massachusetts

NPI Number1104983147
Practice location
290 Baker Ave, Suite S101, Concord, MA 01742-2189
Fax
978-369-0090
Last updated
August 22, 2020

Leonard Broverman DMD PC is a healthcare organization based in Concord, MA. Leonard Broverman DMD PC practices in Concord, MA. The NPI Number for Leonard Broverman DMD PC is 1104983147 and holds a License No. 11223 (MA). The current practice location address for Leonard Broverman DMD PC is 290 Baker Ave, Suite S101, Concord, MA 01742-2189 and can be reached out via phone at 978-369-2062 and via fax at 978-369-0090.

Provider Profile Details

NPI Number
1104983147
Provider Name
Leonard Broverman DMD PC
Provider Entity Type
Organization
Address
290 Baker Ave, Suite S101, Concord, MA 01742-2189
Phone Number
978-369-2062
Fax Number
978-369-0090
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Leonard Broverman, DMD · President · 978-369-2062
Provider Enumeration Date
January 2, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
290 Baker Ave
Suite S101
Concord, MA 01742-2189
Zip
01742-2189
Phone Number
978-369-2062
Fax Number
978-369-0090
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
45 Webster Cir
Sudbury, MA 01776-1275
City
Sudbury
State
MA
Zip
01776-1275
Phone Number
978-443-2636
Fax Number
978-443-2637

License Information

License Number
11223
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leonard Broverman DMD PC?

The NPI number of Leonard Broverman DMD PC is 1104983147. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Leonard Broverman DMD PC?

Leonard Broverman DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 11223.

Where does Leonard Broverman DMD PC practice?

The practice location is 290 Baker Ave, Suite S101, Concord, MA 01742-2189. The office can be reached at 978-369-2062 (phone) or 978-369-0090 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104983147 directly on the NPPES registry website.

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