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DR. GAY WINIFRED BRODERSEN D.D.S.
NPI 1972766798
Dentist - Pediatric Dentistry in Schaumburg, IL

Active since July 02, 2008
1880 N ROSELLE RD, STE.212, SCHAUMBURG, IL 60195(847) 882-3360 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gay Winifred Brodersen D.d.s. NPPES

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

DR. GAY WINIFRED BRODERSEN D.D.S. (NPI 1972766798) is an individual pediatric dentistry provider in Schaumburg, Illinois, licensed in Illinois (021.001749) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1972766798
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. GAY WINIFRED BRODERSENCredential: D.D.S.
Location Address1880 N ROSELLE RD, STE.212Schaumburg, IL 60195-3197
Mailing Address212 N Grant StHinsdale, IL 60521-3336
Phone(847) 882-3360
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1972766798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021.001749
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 019.023646 (IL)
1880 N ROSELLE RD, Schaumburg, IL 60195
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Other Identifiers 1

Medicare PIN421529687WI

Other Providers at the Same Location NPPES 5

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

DR. ASUNTA T. MODUTHAGAM M.D.
Family Medicine
1880 N ROSELLE RD, SUITE 208
SCHAUMBURG, IL 60195
Cook County (847) 519-7047
JOHN S. CORDELL D.D.S.
Dentist
1880 N ROSELLE RD, STE. 212
SCHAUMBURG, IL 60195
Cook County (847) 882-3360
JOSEPH WILLIAM MITCHELL JR. D.D.S.
Dentist (General Practice)
1880 N ROSELLE RD, SUITE 201
SCHAUMBURG, IL 60195
Cook County (847) 884-0960
JOSEPH W MITCHELL JR. DDS
Dentist (General Practice)
1880 N ROSELLE RD, SUITE 201
SCHAUMBURG, IL 60195
Cook County (847) 884-0960
DANIELLE BAUER D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1880 N ROSELLE RD, SUITE 212
SCHAUMBURG, IL 60195
Cook County (847) 882-3360

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 Gay Brodersen's NPI number?

The NPI number for Gay Brodersen is 1972766798. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Gay Brodersen located?

Gay Brodersen practices at 1880 N Roselle Rd Ste.212, Schaumburg, IL 60195. The listed phone number is (847) 882-3360.

What is Gay Brodersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gay Brodersen was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.