Individual provider · Type 1 NPI

Michael William Broadbent, DMD, M.S.

Oral and Maxillofacial Surgery (Dentist) · Ogden, UT

NPI number 1205049459 Active

Practice location

3590 Harrison Blvd, Suite #2
Ogden, UT 84403-2060

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6511661-9924 (UT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1205049459

Michael William Broadbent, DMD, M.S.'s National Provider Identifier is 1205049459, issued on May 7, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ogden, UT. The record was last updated on Apr 27, 2015.