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BEVERLY BROADWELL DDS PLLC
NPI 1073626875
Dentist - General Practice in Kannapolis, NC

Active since August 16, 2006
1921 CONCORD LAKE ROAD, KANNAPOLIS, NC 28083(704) 723-9252(704) 793-4531 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Broadwell Dds Pllc NPPES

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

BEVERLY BROADWELL DDS PLLC (NPI 1073626875) is a healthcare organization registered as a general practice in Kannapolis, North Carolina and active in the NPI registry since August 2006. The organization lists Beverly B Broadwell, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1073626875
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEVERLY BROADWELL DDS PLLC
Location Address1921 CONCORD LAKE ROADKannapolis, NC 28083
Mailing Address1921 Concord Lake RoadKannapolis, NC 28083 · (704) 723-9252 · Fax (704) 793-4531
Phone(704) 723-9252
Fax(704) 793-4531
Organization SubpartNo
Authorized OfficialBeverly B BroadwellDentist Owner · (704) 723-9252
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073626875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1921 CONCORD LAKE ROAD, Kannapolis, NC 28083
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. BEVERLY R BROADWELL DDS PLLC
Dentist (General Practice)
1921 CONCORD LAKE ROAD
KANNAPOLIS, NC 28083
Cabarrus County (704) 723-9252

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 Beverly Broadwell Dds PLLC's NPI number?

The NPI number for Beverly Broadwell Dds PLLC is 1073626875. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Beverly Broadwell Dds PLLC located?

Beverly Broadwell Dds PLLC is located at 1921 Concord Lake Road, Kannapolis, NC 28083. The listed phone number is (704) 723-9252.

What is Beverly Broadwell Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Beverly Broadwell Dds PLLC was last updated on August 22, 2020. 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.