Thomas R Broderick Robert A Vaught Mark W Dusek is a Orthodontics and Dentofacial Clinic in Savannah, Georgia. It is located at 500 Eisenhower Drive, Savannah, GA and its contact number is 912-355-7022. The authorized person for Thomas R Broderick Robert A Vaught Mark W Dusek is Dr. Thomas R Broderick
who is Owner Partner of the clinic and their contact number is 912-355-7022. The primary license number for Thomas R Broderick Robert A Vaught Mark W Dusek is DN012058 (Orthodontics and Dentofacial Orthopedics) in Georgia. Thomas R Broderick Robert A Vaught Mark W Dusek Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Thomas R Broderick Robert A Vaught Mark W Dusek Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Thomas R Broderick Robert A Vaught Mark W Dusek
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
500 Eisenhower Drive, Savannah, Georgia, 31406
Phone:
912-355-7022
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. Thomas R Broderick
Position:
Owner Partner
Contact Number:
912-355-7022
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 Thomas R Broderick Robert A Vaught Mark W Dusek clinic are as mentioned below.
NPI Number:
1114017530
NPI Enumeration Date:
14 Oct, 2006
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 Thomas R Broderick Robert A Vaught Mark W Dusek are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
DN012058
Georgia
Primary
Orthodontics and Dentofacial Orthopedics
DN010006
Georgia
Secondary
Orthodontics and Dentofacial Orthopedics
DN011121
Georgia
Secondary
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
00536335A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Thomas R Broderick Robert A Vaught Mark W Dusek 500 Eisenhower Drive, Savannah, Georgia
Zip:
31406
Phone Number:
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Patients can reach Thomas R Broderick Robert A Vaught Mark W Dusek at 500 Eisenhower Drive, Savannah, Georgia or can call to book an appointment on 912-355-7022. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.