DR. TARA KIMBERLY BRODERICK DMD
NPI 1467504472
Dentist - General Practice in Hackensack, NJ

Active since January 18, 2007
645 MAIN ST, HACKENSACK, NJ 07601(201) 488-8300(201) 488-5953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tara Kimberly Broderick Dmd NPPES

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

DR. TARA KIMBERLY BRODERICK DMD (NPI 1467504472) is an individual general practice provider in Hackensack, New Jersey and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1467504472
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TARA KIMBERLY BRODERICKCredential: DMD
Location Address645 MAIN STHackensack, NJ 07601-4712
Mailing Address645 Main StHackensack, NJ 07601-4712 · (201) 488-8300 · Fax (201) 488-5953
Fax(201) 488-5953
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1467504472 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.
645 MAIN ST, Hackensack, NJ 07601

Other Names 1

Other Name (5)Mrs. Tara Kimberly Broderick

Other Providers at the Same Location NPPES 4

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

Dentist (Pediatric Dentistry)
645 MAIN ST
HACKENSACK, NJ 07601
Dentist (General Practice)
645 MAIN ST
HACKENSACK, NJ 07601
Dentist (Pediatric Dentistry)
645 MAIN ST
HACKENSACK, NJ 07601
Dentist
645 MAIN ST
HACKENSACK, NJ 07601

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 Tara Broderick's NPI number?

The NPI number for Tara Broderick is 1467504472. It was assigned to this individual provider in the NPPES registry on January 18, 2007. The provider is also known as Mrs. Tara Kimberly Broderick.

Where is Tara Broderick located?

Tara Broderick practices at 645 Main St, Hackensack, NJ 07601. The listed phone number is (201) 488-8300.

What is Tara Broderick'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 Tara Broderick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.