Broadbent, Thomas Karl

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

Contact Information

Primary practice address
3540 S 4000 W Suite #140 West Valley City UT 84120-3260
Fax: (801) 963-0359
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 140335-9922 Utah

Profile Details

NPI number 1063568426
LBN Legal business name Broadbent, Thomas Karl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 18 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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