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DR. MICHAEL WILLIAM BROADBENT DMD M.S. NPI 1205049459


NPI Information

NPI: 1205049459
Provider Name: DR. MICHAEL WILLIAM BROADBENT, DMD, M.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: ORAL AND MAXILLOFACIAL SURGEONS OF UTAH, LLC

PECOS Registration: Yes

Address:
3590 HARRISON BLVD
SUITE #2
OGDEN, UT
ZIP 84403
Phone: (801) 392-7176
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DR. Michael William Broadbent, DMD, M.S. is an oral and maxillofacial surgery dentist in Ogden, UT with 17 years of experience. The provider is 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. DR. Michael William Broadbent, DMD, M.S. NPI is 1205049459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

3590 HARRISON BLVD
SUITE #2
OGDEN, UT
ZIP 84403-060
Phone: (801) 392-7176

The NPI 1205049459 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), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 4/27/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery6511661-9924UTAHYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.