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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.