Broadbent, Michael William
Broadbent, Michael William is an individual health care provider with primary practice located at 3590 Harrison Blvd Suite #2, Ogden UT 84403-2060. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Broadbent, Michael William can be contacted via phone (801) 392-7176.Contact Information
Primary practice address
3590 Harrison Blvd Suite #2
Ogden UT 84403-2060
Phone: (801) 392-7176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6511661-9924 | Utah |
Profile Details
| NPI number | 1205049459 |
|---|---|
| LBN Legal business name | Broadbent, Michael William |
| Credentials | DMD, M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Apr 27th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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