Broadbent, Thomas Austen

Broadbent, Thomas Austen is an sole proprietor health care provider with primary practice located at 3540 S 4000 W Suite #140, West Valley UT 84120-3260. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Broadbent, Thomas Austen can be contacted via phone (801) 969-6200.

Contact Information

Primary practice address
3540 S 4000 W Suite #140 West Valley UT 84120-3260
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7390228-9922 Utah

Profile Details

NPI number 1326371410
LBN Legal business name Broadbent, Thomas Austen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2009
Last updated Sep 8th, 2009 - about 16 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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