Individual provider · Type 1 NPI

Anthony C. Broccoli, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Andover, MA

NPI number 1114149184 Active

Practice location

15 Central St
Andover, MA 01810

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X16891 (MA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry 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 funct…

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About NPI 1114149184

Anthony C. Broccoli, DMD's National Provider Identifier is 1114149184, issued on May 2, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Andover, MA. The record was last updated on Jul 8, 2007.