THOMAS R BRODERICK ROBERT A VAUGHT MARK W DUSEK
NPI 1114017530
Dentist - Orthodontics and Dentofacial Orthopedics in Savannah, GA

Active since October 14, 2006
500 EISENHOWER DRIVE, SAVANNAH, GA 31406(912) 355-7022 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas R Broderick Robert A Vaught Mark W Dusek NPPES

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

THOMAS R BRODERICK ROBERT A VAUGHT MARK W DUSEK (NPI 1114017530) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Savannah, Georgia and active in the NPI registry since October 2006. The organization lists Thomas R Broderick, Owner Partner, as its authorized official.

NPPES Registry Identity

NPI1114017530
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameDRS BRODERICK VAUGHT & DUSEK PC
Location Address500 EISENHOWER DRIVESavannah, GA 31406
Mailing Address500 Eisenhower DriveSavannah, GA 31406
Organization SubpartNo
Authorized OfficialThomas R BroderickOwner Partner · (912) 355-7022
Enumeration DateOctober 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1114017530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in GA · DN012058 Licensed in GA · DN010006 Licensed in GA · DN011121
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
500 EISENHOWER DRIVE, Savannah, GA 31406

Other Names 1

Other NameThomas R Broderick Robert A Vaught Mark W Dusek

Other Identifiers 1

Medicaid00536335AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Drs Broderick Vaught & Dusek PC's NPI number?

The NPI number for Drs Broderick Vaught & Dusek PC is 1114017530. It was assigned to this organization in the NPPES registry on October 14, 2006. The provider is also known as Thomas R Broderick Robert A Vaught Mark W Dusek.

Where is Drs Broderick Vaught & Dusek PC located?

Drs Broderick Vaught & Dusek PC is located at 500 Eisenhower Drive, Savannah, GA 31406. The listed phone number is (912) 355-7022.

What is Drs Broderick Vaught & Dusek PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Drs Broderick Vaught & Dusek PC 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.