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MS. MARY RACHELLE BRODERICK RDH
NPI 1134401490
Dental Hygienist in Appleton, NY

Active since September 13, 2011
6419 LAKE RD, APPLETON, NY 14008(716) 297-0798(716) 297-0998 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Rachelle Broderick Rdh NPPES

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

MS. MARY RACHELLE BRODERICK RDH (NPI 1134401490) is an individual dental hygienist in Appleton, New York, licensed in New York (016112-1) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1134401490
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMS. MARY RACHELLE BRODERICKCredential: RDH
Location Address6419 LAKE RDAppleton, NY 14008-9606
Mailing Address6419 Lake RdAppleton, NY 14008-9606 · (716) 297-0798 · Fax (716) 297-0998
Phone(716) 297-0798
Fax(716) 297-0998
Sole ProprietorYes
Enumeration DateSeptember 13, 2011
✔ NPI 1134401490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in NY · 016112-1
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.
6419 LAKE RD, Appleton, NY 14008
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Other Identifiers 1

Other016112-1NY · New York State License

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 Mary Broderick's NPI number?

The NPI number for Mary Broderick is 1134401490. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Mary Broderick located?

Mary Broderick practices at 6419 Lake Rd, Appleton, NY 14008. The listed phone number is (716) 297-0798.

What is Mary Broderick's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Broderick was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.