Active NPIIndividual providerSole proprietor

Mrs. Deanna T Broderick, RDH

Dental Hygienist in Guilford, Connecticut

NPI Number1891965398
Practice location
616 Nortontown RD, Guilford, CT 06437-2222
Fax
—
Last updated
March 11, 2008

Deanna Tear Broderick is a Dental Hygienist based in Guilford, CT. Deanna Tear Broderick practices in Guilford, CT and has the professional credentials of RDH. The NPI Number for Deanna Tear Broderick is 1891965398 and holds a License No. 004702 (CT). The current practice location address for Deanna Tear Broderick is 616 Nortontown RD, Guilford, CT 06437-2222 and can be reached out via phone at 203-458-7604.

Provider Profile Details

NPI Number
1891965398
Provider Name
Deanna Tear Broderick
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
616 Nortontown RD, Guilford, CT 06437-2222
Phone Number
203-458-7604
Primary Taxonomy
Dental Hygienist · 124Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2008
Last Update Date
March 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
616 Nortontown RD
Guilford, CT 06437-2222
Zip
06437-2222
Phone Number
203-458-7604
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
616 Nortontown RD
Guilford, CT 06437-2222
City
Guilford
State
CT
Zip
06437-2222
Phone Number
203-458-7604

License Information

License Number
004702
License State
CT
Taxonomy
Dental Hygienist · 124Q00000X · 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 Mrs. Deanna T Broderick, RDH?

The NPI number of Mrs. Deanna T Broderick, RDH is 1891965398. It was assigned on March 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Deanna T Broderick, RDH?

Mrs. Deanna T Broderick, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in CT under license number 004702.

Where does Mrs. Deanna T Broderick, RDH practice?

The practice location is 616 Nortontown RD, Guilford, CT 06437-2222. The office can be reached at 203-458-7604 (phone).

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 1891965398 directly on the NPPES registry website.

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