MICHAEL D BROADBENT DDS PC NPI 1467631812

NPI Information

  • NPI: 1467631812
  • Provider Name: MICHAEL D BROADBENT DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1058 N HIGLEY RD
    SUITE 212
    MESA, AZ
    ZIP 85205
  • Phone: (480) 924-8633

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NPI Details

MICHAEL D BROADBENT DDS PC is a general practice dentist in Mesa, AZ. 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. MICHAEL D BROADBENT DDS PC NPI is 1467631812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1058 N HIGLEY RD
SUITE 212
MESA, AZ
ZIP 85205
Phone: (480) 924-8633
Fax: (480) 924-2647

The provider's authorized official is Michael D Broadbent .
The authorized official title is Owner President Dentist and has the following contact phone number (480) 924-8633.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/1/2007.

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 Practice3584ARIZONAYes

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: 11/21/2025

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