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LANDEN BROADHEAD
NPI 1013455492
Dentist in Travis Afb, CA

Active since February 06, 2017
151 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-7000 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Feb 6, 2017 (2 updates tracked since 2017).

About Landen Broadhead NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANDEN BROADHEAD (NPI 1013455492) is an individual dentist in Travis Afb, California, licensed in Utah (13972455-9926) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1013455492
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLANDEN BROADHEAD
Location Address151 BODIN CIRTravis Afb, CA 94535-1801
Mailing Address101 Bodin Cir Bldg 777Travis Afb, CA 94535-1809
Phone(707) 423-7000
Sole ProprietorYes
Enumeration DateFebruary 6, 2017
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1013455492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 13972455-9926
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedCounselorTaxonomy 101Y00000X
151 BODIN CIR, Travis Afb, CA 94535
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEAN ARTHUR PFIRRMAN D.D.S.
Dentist (General Practice)
151 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7063
LANE JOHNSON
Dentist
151 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (207) 939-4284
ROBIN E FONTENOT DDS
Dentist (General Practice)
151 BODIN CIR, 60 DS/CC
TRAVIS AFB, CA 94535
Solano County (707) 423-7011
ANNA NOELLE PANFIL DMD
Student in an Organized Health Care Education/Training Program
151 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7066
DR. SCOTT SEMBA
Dentist (Periodontics)
151 BODIN CIR, 60TH DENTAL SQUADRON (AMC)
TRAVIS AFB, CA 94535
Solano County (707) 423-7025
MARTIN J HAMILTON DDS
Dentist
151 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landen Broadhead's NPI number?

The NPI number for Landen Broadhead is 1013455492. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Where is Landen Broadhead located?

Landen Broadhead practices at 151 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-7000.

What is Landen Broadhead's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Landen Broadhead was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.