Dr. Derrick Maurice Broadaway is a Hampton, Virginia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Derrick Maurice Broadaway is 0401007977 for General Practice Dentistry in Virginia. His current practice location is 3709 Kecoughtan Rd, Hampton. Patients can reach him at 757-722-8507.
Dr. Derrick Maurice Broadaway is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Derrick Maurice Broadaway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Derrick Maurice Broadaway
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
3709 Kecoughtan Rd, Hampton, Virginia, 23669-4405
Phone:
757-722-8507
Fax:
757-690-8765
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 are as mentioned below.
NPI Number:
1336292952
NPI Enumeration Date:
18 Jan, 2007
NPI Last Update On:
27 Nov, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Derrick Maurice Broadaway are as mentioned below.
License Number
Specialization
State
Status
0401007977
General Practice Dentistry
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Derrick Maurice Broadaway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
106546
Medicaid
Virgin Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3709 Kecoughtan Rd, Hampton, Virginia
Zip:
23669-4405
Phone Number:
757-722-8507
Fax Number:
757-690-8765
Patients can reach Dr. Derrick Maurice Broadaway at 3709 Kecoughtan Rd, Hampton, Virginia or can call to book an appointment on 757-722-8507. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.