DRS BRODERICK VAUGHT & DUSEK PC (NPI# 1114017530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114017530 |
| Entity Type | Organization |
| Organization Name | DRS BRODERICK VAUGHT & DUSEK PC |
| Other Organization Name | THOMAS R BRODERICK ROBERT A VAUGHT MARK W DUSEK |
| Practice Address |
500 Eisenhower Drive Savannah GA 31406 |
| Practice Telephone | 9123557022 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS R BRODERICK (OWNER PARTNER) |
| Authorized Official Telephone | 9123557022 |
| Authorized Official Credential | DDS MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN010006 | GA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN011121 | GA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN012058 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00536335A | 05 |
| Other Name | Type Code |
|---|---|
| Thomas R Broderick Robert A Vaught Mark W Dusek | Other Name - Individual/Organization |
| Street Address |
500 EISENHOWER DRIVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831674290 | Kathleen Rouse Vaught | Dentist | 7650 Waters Ave, Savannah, GA 31406-3816 | 2018-10-01 |
| 1679901581 | Thomas Broderick | Dentist | 500 Eisenhower Dr, Savannah, GA 31406-2608 | 2013-10-31 |
| 1265694053 | Salvatore Brancato | Dentist | 130 Stephenson Ave, Ste 201, Savannah, GA 31405-5889 | 2008-07-02 |
| 1821207374 | Douglas Edward Smith | Dentist | 5102 Paulsen Street, Building 7, Savannah, GA 31405-4624 | 2007-05-22 |
| 1003236407 | Mark W Dusek | Dentist | 500 Eisenhower Dr, Savannah, GA 31406-2608 | 2014-04-24 |
| 1538307814 | Joby Koovakada George | Dentist | 6600 Abercorn St, Suite 110, Savannah, GA 31405-5800 | 2009-01-26 |
| 1023113875 | Donihue Waters | Dentist | 9100 White Bluff Rd, Suite 104, Savannah, GA 31406 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828765 | Sharma Orthodontics LLC | Dentist | 3535 Roswell Rd Ste 53, Marietta, GA 30062-8828 | 2020-10-15 |
| 1700484094 | Beltway Orthodontics | Dentist | 857 Collier Rd Nw Ste 5a-5b, Atlanta, GA 30318-2532 | 2020-10-09 |
| 1003423039 | Cedar Dental Clinical I, LLC | Dentist | 119 Willow Ln, Mcdonough, GA 30253-6574 | 2020-09-24 |
| 1073120002 | Cedar Dental Clinical I, LLC | Dentist | 494 Booth Rd Ste 1a, Warner Robins, GA 31088-3435 | 2020-09-24 |
| 1942817960 | Cedar Dental Clinical I, LLC | Dentist | 4272 Washington Rd Ste 7a, Evans, GA 30809-3073 | 2020-09-24 |
| 1366059396 | Cedar Dental Clinical I, LLC | Dentist | 18 Riverbend Dr Sw Ste 230, Rome, GA 30161-6019 | 2020-09-24 |
| 1740897776 | Cedar Dental Clinical I, LLC | Dentist | 3630 Thompson Bridge Rd Ste 18b, Gainesville, GA 30506-1524 | 2020-09-24 |
| 1790392710 | Cedar Dental Clinical I, LLC | Dentist | 6801 Governors Lake Pkwy Ste 290, Peachtree Corners, GA 30071-1136 | 2020-09-24 |
| 1598379679 | Dr. Milan Dhanani PC | Dentist | 1905 Beaver Ruin Rd Ste 175b, Norcross, GA 30071-3837 | 2020-09-04 |
| 1316584758 | Classic City Orthodontics, LLC | Dentist | 1020 Jamestown Blvd Bldg 100, Watkinsville, GA 30677-4131 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DRS BRODERICK VAUGHT & DUSEK PC.
| 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.