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Dr. Derrick Maurice Broadaway, DDS
General Practice Dentistry in Hampton, Virginia
NPI 1336292952

Derrick Maurice Broadaway is a General Practice Dentistry based in Hampton, VA and is specialized in General Practice. Derrick Maurice Broadaway practices in Hampton, VA and has the professional credentials of DDS. The NPI Number for Derrick Maurice Broadaway is 1336292952 and holds a License No. 0401007977 (Virginia).

The current practice location address for Derrick Maurice Broadaway is 3709 Kecoughtan Rd, Hampton, VA and can be reached out via phone at 757-722-8507 and via fax at 757-690-8765.

Location: 3709 Kecoughtan Rd, Hampton, VA, 23669-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336292952
Provider Name
Derrick Maurice Broadaway
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3709 Kecoughtan Rd, Hampton, VA, 23669-4405
Phone Number
757-722-8507
Fax Number
757-690-8765
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106546 05 VI
institution
Provider Business Practice Location Address Details
Address
3709 Kecoughtan Rd
City
Hampton
State
Virginia
Zip
23669-4405
Phone Number
757-722-8507
Fax Number
757-690-8765
person
Provider Business Mailing Address Details
Address
3709 Kecoughtan Rd
City
Hampton
State
Virginia
Zip
23669-4405
Phone Number
757-722-8507
Fax Number
757-690-8765
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401007977 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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