Dr. Kenneth N Broder, DMD
Dentist, General Practice in Stamford, Connecticut
1114065778- Practice location
- 144 Morgan St Ste 5, Stamford, CT 06905-5433
- Phone
- 203-327-1167
- Fax
- 203-327-1168
- Last updated
- July 8, 2007
Kenneth N. Broder is a Dentist, General Practice based in Stamford, CT. Kenneth N. Broder practices in Stamford, CT and has the professional credentials of DMD. The NPI Number for Kenneth N. Broder is 1114065778 and holds a License No. 8127 (CT). The current practice location address for Kenneth N. Broder is 144 Morgan St Ste 5, Stamford, CT 06905-5433 and can be reached out via phone at 203-327-1167 and via fax at 203-327-1168.
Provider Profile Details
- NPI Number
- 1114065778
- Provider Name
- Kenneth N. Broder
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 144 Morgan St Ste 5, Stamford, CT 06905-5433
- Phone Number
- 203-327-1167
- Fax Number
- 203-327-1168
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 144 Morgan St Ste 5
Stamford, CT 06905-5433 - City
- Stamford
- State
- Connecticut
- Zip
- 06905-5433
- Phone Number
- 203-327-1167
- Fax Number
- 203-327-1168
Provider Business Mailing Address Details
- Address
- 144 Morgan St Ste 5
Stamford, CT 06905-5433 - City
- Stamford
- State
- CT
- Zip
- 06905-5433
- Phone Number
- 203-327-1167
- Fax Number
- 203-327-1168
License Information
- License Number
- 8127
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Kenneth N Broder, DMD?
The NPI number of Dr. Kenneth N Broder, DMD is 1114065778. It was assigned on February 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth N Broder, DMD?
Dr. Kenneth N Broder, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8127.
Where does Dr. Kenneth N Broder, DMD practice?
The practice location is 144 Morgan St Ste 5, Stamford, CT 06905-5433. The office can be reached at 203-327-1167 (phone) or 203-327-1168 (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 1114065778 directly on the NPPES registry website.