Individual provider · Type 1 NPI
Thomas Broderick, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Savannah, GA
Practice location
500 Eisenhower Dr
Savannah, GA 31406-2608
Fax (912) 355-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 10006 (GA) |
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 1679901581
Thomas Broderick, DDS, M.S.'s National Provider Identifier is 1679901581, issued on Oct 31, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Savannah, GA. The record was last updated on Oct 31, 2013.