Thomas R Broderick Robert A Vaught Mark W Dusek
LBN: Drs Broderick Vaught & Dusek Pc
Thomas R Broderick Robert A Vaught Mark W Dusek is an health care organization with primary practice located at 500 Eisenhower Drive , Savannah GA 31406. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty.
Drs Broderick Vaught & Dusek Pc can be contacted via phone (912) 355-7022, or through Broderick, Thomas R via phone (912) 355-7022.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN010006 | Georgia |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN011121 | Georgia |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN012058 | Georgia |
Profile Details
| NPI number | 1114017530 |
|---|---|
| LBN Legal business name | Drs Broderick Vaught & Dusek Pc |
| DBA Doing business as | Thomas R Broderick Robert A Vaught Mark W Dusek |
| Authorized official | Broderick, Thomas R DDS MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114017530 | NPPES |
| Georgia | MEDICAID | 00536335A |
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