Individual provider · Type 1 NPI

Todd Richard Broyles, DDS

Dentist · Scott Afb, IL

NPI number 1205032356 Active

Practice location

310 W Losey St
Scott Afb, IL 62225-5250

Call (618) 256-6667 Map

Mailing address

561 W Carlton Ave
Meridian, ID 83642-2124

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-4068 (ID)

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 1205032356

Todd Richard Broyles, DDS's National Provider Identifier is 1205032356, issued on Jun 25, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Scott Afb, IL. The record was last updated on Jul 8, 2007.