Beverly Broadwell DDS PLLC
Organization Active NPI General Practice Dentistry · Kannapolis, NC
NPI 1073626875 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073626875
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BEVERLY BROADWELL DDS PLLC
- Practice address
- 1921 Concord Lake Road
Kannapolis, NC 28083 - Phone
- (704) 723-9252
- Fax
- (704) 793-4531
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Beverly B Broadwell, DDS PLLC
- Title
- Dentist Owner
- Phone
- (704) 723-9252
National Provider Directory
Locations
1921 Concord Lake Rd
Kannapolis, NC 28083
Phone (704) 723-9252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1921 Concord Lake Road
Kannapolis, NC 28083
Mailing address
1921 Concord Lake Road
Kannapolis, NC 28083
Phone (704) 723-9252
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All providers in Kannapolis, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.