Ms. Mary Rachelle Broderick is a Appleton, New York based oral hygienist who is specialized as Dental Hygienist. Active license number of Ms. Mary Rachelle Broderick is 016112-1 for Dental Hygienist in New York. Her current practice location is 6419 Lake Rd, Appleton. Patients can reach her at 716-297-0798.
Ms. Mary Rachelle Broderick has completed an accredited dental hygiene education program, and has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions of dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Complete Profile:
Ms. Mary Rachelle Broderick 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: | Ms. Mary Rachelle Broderick |
| Specialization: | Dental Hygienist |
| Gender: | Female |
| Credentials: | RDH (Registered Dental Hygienist) |
| Practice Address: | 6419 Lake Rd, Appleton,
New York, 14008-9606 |
| Phone: | 716-297-0798 |
| Fax: | 716-297-0998 |
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: | 1134401490 |
| NPI Enumeration Date: | 13 Sep, 2011 |
| NPI Last Update On: | 13 Sep, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Mary Rachelle Broderick are as mentioned below.
| License Number | Specialization | State | Status | |
| 016112-1 | Dental Hygienist | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Mary Rachelle Broderick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 016112-1 | Other | New York | NEW YORK STATE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6419 Lake Rd,
Appleton, New York |
| Zip: | 14008-9606 |
| Phone Number: | 716-297-0798 |
| Fax Number: | 716-297-0998 |
Patients can reach Ms. Mary Rachelle Broderick at
6419 Lake Rd, Appleton, New York or can
call to book an appointment on 716-297-0798.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.