Derrick M. Broadaway, D.d.s., Pc is a Dental Clinic in Chesapeake, Virginia. It is located at 3325 Taylor Rd, Suite 111, Chesapeake, VA and its contact number is 757-686-3033. The authorized person for Derrick M. Broadaway, D.d.s., Pc is Dr. Derrick M Broadaway
who is Practice Owner of the clinic and their contact number is 757-686-3033. Derrick M. Broadaway, D.d.s., Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Derrick M. Broadaway, D.d.s., Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Derrick M. Broadaway, D.d.s., Pc
Specialization:
General Practice Dentistry
Clinic Address:
3325 Taylor Rd, Suite 111, Chesapeake, Virginia, 23321-3300
Phone:
757-686-3033
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Derrick M Broadaway
Position:
Practice Owner
Contact Number:
757-686-3033
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Derrick M. Broadaway, D.d.s., Pc clinic are as mentioned below.
NPI Number:
1922218684
NPI Enumeration Date:
23 May, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derrick M. Broadaway, D.d.s., Pc are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000005259
Other
Virginia
Dental Benefits Prov#
005094
Medicaid
Virginia
000000005259
Other
Virginia
United Healthcare Prov#
864302
Other
Virginia
United Conc Prov #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Derrick M. Broadaway, D.d.s., Pc 3325 Taylor Rd, Suite 111 Chesapeake, Virginia
Zip:
23321-3300
Phone Number:
757-686-3033
Patients can reach Derrick M. Broadaway, D.d.s., Pc at 3325 Taylor Rd, Suite 111, Chesapeake, Virginia or can call to book an appointment on 757-686-3033. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.