Derrick M. Broadaway, D.d.s., Pc
Dental Clinic
3809 Princess Anne Rd, Suite 111, Virginia Beach
Virginia, 23456-1900
757-471-6672 Maps & DirectionsDerrick M. Broadaway, D.d.s., Pc is a Dental Clinic in Virginia Beach, Virginia. This organization is also known as sub part of Derrick M. Broadaway, D.d.s., Pc. It is located at 3809 Princess Anne Rd, Suite 111, Virginia Beach, VA and its contact number is 757-471-6672. The authorized person for Derrick M. Broadaway, D.d.s., Pc is Ms. Joyce S Davis
who is Office Manager of the clinic and their contact number is 757-471-6672.
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: | 3809 Princess Anne Rd, Suite 111, Virginia Beach,
Virginia, 23456-1900 |
| Phone: | 757-471-6672 |
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: | Ms. Joyce S Davis |
| Position: | Office Manager |
| Contact Number: | 757-471-6672 |
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: | 1316156102 |
| Parent Organization: | Derrick M. Broadaway, D.d.s., Pc |
| NPI Enumeration Date: | 21 May, 2007 |
| NPI Last Update On: | 07 Apr, 2008 |
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 | | Virginia | 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 | United Healthcare Provide |
| 619881 | Other | Virginia | United Concordia Provider |
| 219275 | Other | Virginia | Blue Cross Provider # |
| 000000005259 | Other | Virginia | Dental Benefits Provider# |
| 106546 | Medicaid | Virginia | |
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
3809 Princess Anne Rd, Suite 111
Virginia Beach, Virginia |
| Zip: | 23456-1900 |
| Phone Number: | 757-471-6672 |
Patients can reach Derrick M. Broadaway, D.d.s., Pc at
3809 Princess Anne Rd, Suite 111, Virginia Beach, Virginia or can
call to book an appointment on 757-471-6672.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.