Individual provider · Type 1 NPI

Landen Broadhead

Dentist · Travis Afb, CA

NPI number 1013455492 Active

Practice location

151 Bodin Cir
Travis Afb, CA 94535-1801

Mailing address

101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X13972455-9926 (UT)
Counselor 101Y00000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1013455492

Landen Broadhead's National Provider Identifier is 1013455492, issued on Feb 6, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Travis Afb, CA. The record was last updated on Jul 25, 2024.