Derrick 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.