Organization · Type 2 NPI

Derrick M. Broadaway, D.d.s., PC

General Practice Dentistry · Chesapeake, VA

NPI number 1922218684 Active

About NPI 1922218684

Derrick M. Broadaway, D.d.s., PC's National Provider Identifier is 1922218684, issued on May 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chesapeake, VA. The record was last updated on Aug 22, 2020.