TINA ANDREA BRODERICK RDH - NPI 1063085413 - Dental Hygienist in Santa Fe, NM

Q: What is Tina Broderick's NPI number?

The NPI number for Tina Broderick is 1063085413. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Q: What is Tina Broderick's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Broderick was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Tina Andrea Broderick Rdh NPPES

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

TINA ANDREA BRODERICK RDH (NPI 1063085413) is an individual dental hygienist in Santa Fe, New Mexico, licensed in New Mexico (DH1049) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1063085413

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameTINA ANDREA BRODERICKCredential: RDH

Location Address6401 S RICHARDS AVESanta Fe, NM 87508-4887

Mailing AddressPo Box 5395Santa Fe, NM 87502-5395 · (505) 984-5048 · Fax (505) 988-3246

Phone(505) 984-5048

Fax(505) 988-3246

Sole ProprietorNo

Enumeration DateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1063085413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in NM · DH1049

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

6401 S RICHARDS AVE, Santa Fe, NM 87508

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Other Providers at the Same Location NPPES 12

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

DR. MELISSA FLYNN D.D.S

Dentist