person
Dr. John G. Broderick, DMD
Periodontist in Providence, Rhode Island
NPI 1841403953

John G. Broderick is a Periodontist based in Cumberland, RI and is specialized in Periodontics. John G. Broderick practices in Providence, RI and has the professional credentials of DMD. The NPI Number for John G. Broderick is 1841403953 and holds a License No. DEN02700 (Rhode Island).

The current practice location address for John G. Broderick is 167 Gano St, Providence, RI and can be reached out via phone at 401-274-2600 and via fax at 401-421-7875.

Location: 167 Gano St, Providence, RI, 02864-2384
person
Provider Profile Details
NPI Number
1841403953
Provider Name
John G. Broderick
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
167 Gano St, Providence, RI, 02864-2384
Phone Number
401-274-2600
Fax Number
401-421-7875
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
167 Gano St
City
State
Zip
02906-3808
Phone Number
401-274-2600
Fax Number
401-421-7875
person
Provider Business Mailing Address Details
Address
167 Gano St
City
State
Zip
02906-3808
Phone Number
401-274-2600
Fax Number
401-421-7875
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DEN02700 (Rhode Island)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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