ROBERT VANDER BROEK D.D.S. NPI 1134532906

NPI Information

NPI: 1134532906
Provider Name: ROBERT VANDER BROEK, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1615 14TH ST NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 289-3921
Get Directions

Robert Vander Broek, D.D.S. is a general practice dentist in Rochester, MN. 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. Robert Vander Broek, D.D.S. NPI is 1134532906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1615 14TH ST NW
ROCHESTER, MN
ZIP 55901-257
Phone: (507) 289-3921
Fax: (507) 288-2450

The NPI 1134532906 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/9/2014 and was last updated on 7/7/2015.

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
1	1223G0001X	Dentist	General Practice	AC5385578-R103	NORTH CAROLINA	No
2	1223G0001X	Dentist	General Practice	D13563	MINNESOTA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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