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Contact Information

BEVERLY BROADWELL DDS PLLC
1921 CONCORD LAKE ROAD
KANNAPOLIS, NC28083
 Phone: 704-723-9252
 Fax: 704-793-4531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BEVERLY BROADWELL DDS PLLC

NPI Number 1073626875
LBN Legal business name BEVERLY BROADWELL DDS PLLC
Authorized official BEVERLY BROADWELL - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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