| Frederick W. Broadhead, Dmd, Pc | |
|
80 W 4th St Front Royal VA 22630-2608 | |
| (540) 635-4567 | |
| (540) 635-6794 |
| Full Name | Frederick W. Broadhead, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 80 W 4th St, Front Royal, Virginia |
| Authorized Official Name and Position | Frederick Wright Broadhead (OWNER) |
| Authorized Official Contact | 5406354567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick W. Broadhead, Dmd, Pc 80 W 4th St Front Royal VA 22630-2608 Ph: (540) 635-4567 | Frederick W. Broadhead, Dmd, Pc 80 W 4th St Front Royal VA 22630-2608 Ph: (540) 635-4567 |
| NPI Number | 1841536364 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841536364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401411086 (Virginia) | Primary |
| 261QD0000X | Clinic/center - Dental | 0401413785 (Virginia) | Secondary |
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