DR. MICHELE BRODER (NPI# 1023036910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023036910 |
| Entity Type | Individual |
| Full Name | DR. MICHELE BRODER |
| Credential | DMD |
| Practice Address |
2300 Pennsylvania Ave Suite 5c Wilmington DE 19806-1392 |
| Practice Telephone | 3026521533 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
G1-0001021 | DE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437825 | Michele E. Wolfson Broder | Nutritionist | 427 N Broadway, Sleepy Hollow, NY 10591-1612 | 2020-01-29 |
| Street Address |
2300 PENNSYLVANIA AVE SUITE 5C |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772426 | Satoshi Ikeda | Specialist | 2300 Pennsylvania Ave, Suite 3 D, Wilmington, DE 19806-1392 | 2005-07-07 |
| 1659767028 | Lauren Galinat Bogdan | Otolaryngology | 2300 Pennsylvania Ave, Ste 2a, Wilmington, DE 19806-1379 | 2015-04-12 |
| 1376954248 | Vincent Longo Dmd | Dentist | 2300 Pennsylvania Ave, Suite 4a, Wilmington, DE 19806-1392 | 2014-05-14 |
| 1881946333 | Nancy Kate Pancko | Dentist | 2300 Pennsylvania Ave, Suite 5c, Wilmington, DE 19806-1392 | 2012-10-09 |
| 1770866378 | Pure Wellness of Wilmington, LLC | Chiropractor | 2300 Pennsylvania Ave, Suite 5b, Wilmington, DE 19806-1392 | 2011-09-21 |
| 1750697579 | Delaware Cardiology Care, LLC | Internal Medicine | 2300 Pennsylvania Ave, Suite 4c, Wilmington, DE 19806-1392 | 2010-08-31 |
| 1720392731 | Terri Lynch-kenyon | Audiologist-Hearing Aid Fitter | 2300 Pennsylvania Ave, 1c, Wilmington, DE 19806-1392 | 2010-08-02 |
| 1093957953 | Wilmington Cardiovascular Associates LLC | Internal Medicine | 2300 Pennsylvania Ave, Suite 4 C, Wilmington, DE 19806-1392 | 2009-03-24 |
| 1720279417 | Michael K. Rosenthal, D.o., P.C. | Dermatology | 2300 Pennsylvania Ave, Suite 3c, Wilmington, DE 19806-1392 | 2007-08-07 |
| 1215135629 | Peninsula Medical Associates, LLC | Family Medicine | 2300 Pennsylvania Ave, Suite 4-c, Wilmington, DE 19806-1392 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044560 | Riccobene & Associates Xxxvi, Dds, P.a. | Dentist | 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 | 2019-10-15 |
| 1275044612 | Delaware Periodontics and Implants LLC | Dentist | 2300 Pennsylvania Ave Unit 5d, Wilmington, DE 19806-1392 | 2017-10-12 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1124181110 | Susan Kay Banta Dds Ms Pa | Dentist | 1611 Doctors Circle, Wilmington, NC 28401 | 2006-12-19 |
| 1003915091 | Darla Marie Brice | Dentist | 3512 Silverside Rd Ste 6, Wilmington, DE 19810-4941 | 2006-09-22 |
| 1871690438 | Margaret Munley | Dentist | 2004 Foulk Rd, Wilmington, DE 19810-3641 | 2006-09-17 |
| 1982719001 | Phyllis Byers Cook | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2006-08-20 |
| 1891744819 | Martin Scott Gould | Dentist | 7010 Market St, Wilmington, NC 28411-9728 | 2006-05-08 |
| 1053391706 | Bradford L Klassman | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2006-01-19 |
| 1104820174 | Stephen Curtis Wallace | Dentist | 2525 Delaney Rd, Wilmington, NC 28403-6003 | 2005-06-08 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.