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Derrick M. Broadaway, D.d.s., Pc
General Practice Dentistry in Chesapeake, Virginia
NPI 1922218684

Derrick M. Broadaway, D.d.s., Pc is a General Practice Dentistry based in Chesapeake, VA and is specialized in General Practice. Derrick M. Broadaway, D.d.s., Pc practices in Chesapeake, VA. The NPI Number for Derrick M. Broadaway, D.d.s., Pc is 1922218684 and holds a License No. (Virginia).

The current practice location address for Derrick M. Broadaway, D.d.s., Pc is 3325 Taylor Rd, Chesapeake, VA and can be reached out via phone at 757-686-3033.

Location: 3325 Taylor Rd, Chesapeake, VA, 23321-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922218684
Provider Name
Derrick M. Broadaway, D.d.s., Pc
Credential
Provider Entity Type
Organization
Address
3325 Taylor Rd, Chesapeake, VA, 23321-3300
Phone Number
757-686-3033
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000005259 01 VA DENTAL BENEFITS PROV#
005094 05 VA
000000005259 01 VA UNITED HEALTHCARE PROV#
864302 01 VA UNITED CONC PROV #
institution
Provider Business Practice Location Address Details
Address
3325 Taylor Rd
City
Chesapeake
State
Virginia
Zip
23321-3300
Phone Number
757-686-3033
Fax Number
person
Provider Business Mailing Address Details
Address
3325 Taylor Rd
City
Chesapeake
State
Virginia
Zip
23321-3300
Phone Number
757-686-3033
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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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