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BEVERLY BROADWELL DDS PLLC NPI 1073626875


NPI Information

NPI: 1073626875
Provider Name: BEVERLY BROADWELL DDS PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1921 CONCORD LAKE ROAD
KANNAPOLIS, NC
ZIP 28083
Phone: (704) 723-9252
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BEVERLY BROADWELL DDS PLLC is a general practice dentist in Kannapolis, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BEVERLY BROADWELL DDS PLLC NPI is 1073626875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1921 CONCORD LAKE ROAD
KANNAPOLIS, NC
ZIP 28083
Phone: (704) 723-9252
Fax: (704) 793-4531

The provider's authorized official is Beverly B Broadwell .
The authorized official title is Dentist Owner and has the following contact phone number (704) 723-9252.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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