MR. ROBERT LEE BROADY SR. (NPI# 1356741284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356741284 |
Entity Type | Individual |
Full Name | MR. ROBERT LEE BROADY SR. |
Credential | D.D.S. |
Practice Address |
3533 Dunn Road Suite 242 Florissant MO 63033 |
Practice Telephone | 3148319992 |
Practice Fax Number | 3148319994 |
Mailing Telephone | 3148319992 |
Mailing Fax Number | 3148319994 |
Enumeration Date | 2014-08-28 |
Last Update Date | 2014-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
012980 | MO | Dental Providers |
Street Address |
3533 DUNN ROAD SUITE 242 |
City | FLORISSANT |
State | MO |
Zip Code | 63033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
Find all providers in zip 63033 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215598099 | Brock Alexander Cameron | Dentist | 3115 N Highway 67, Florissant, MO 63033-1602 | 2019-06-24 |
1487214813 | Angelyn Rosenberger | Dentist | 1133 Howdershell Rd, Florissant, MO 63031-7520 | 2019-06-18 |
1568986974 | Florissant Dental Care-ronald K Greif, Dds-samir Ruvinov, Dds, LLC | Dentist | 1265 Graham Rd Ste A, Florissant, MO 63031-8018 | 2017-07-27 |
1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
1225260284 | David Milberg | Dentist | 540 Howdershell Rd, Florissant, MO 63031-6450 | 2009-08-10 |
1649489113 | Midwest Smiles | Dentist | 4169 N Us Highway 67, Florissant, MO 63034-2825 | 2007-05-22 |
1396875225 | Martin Leo Buchheit | Dentist | 2149 Charbonier Rd, Florissant, MO 63031-5500 | 2007-03-07 |
1790825412 | Ronald J Schmidt | Dentist | 316 Rue St Francois St, Florissant, MO 63031 | 2007-02-08 |
1780739375 | John R Landgraf | Dentist | 504 N New Florissant Rd, Florissant, MO 63031-4802 | 2007-01-24 |
1952461386 | Timothy Joel Arrington | Dentist | 3837 Vaile Avenue, Suite F, Florissant, MO 63034 | 2006-12-08 |
Find all providers in FLORISSANT |
City | FLORISSANT |
Zip Code | 63033 |
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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.