DR. AARON DANIEL BRODERICK (NPI# 1902126147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902126147 |
| Entity Type | Individual |
| Full Name | DR. AARON DANIEL BRODERICK |
| Credential | D.M.D. |
| Practice Address |
501 West 14th Street Wilmington DE 19899 |
| Mailing Address |
9250 College Pkwy Ste 1 Fort Myers FL 33919-4847 |
| Practice Telephone | 7174243919 |
| Mailing Telephone | 2934374014 |
| Mailing Fax Number | 2394370306 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN 19413 | FL | Dental Providers |
| Street Address |
501 WEST 14TH STREET |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715736 | Christiana Care Health Services Inc. | Internal Medicine | 501 West 14th Street, Wilmington, DE 19899 | 2006-01-26 |
| 1902301591 | Zoya Iqbaluddin | Student in an Organized Health Care Education/Training Program | 501 West 14th Street, Wilmington, DE 19899 | 2018-03-27 |
| 1821592197 | Andrew Christopher Young | Student in an Organized Health Care Education/Training Program | 501 West 14th Street, Wilmington, DE 19899 | 2018-03-21 |
| 1437547668 | Stephanie A Evans-mitchell | Nurse Practitioner | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1012 | 2014-12-22 |
| 1548664592 | Molly Ann Bergamo | Registered Nurse | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1012 | 2014-10-20 |
| 1215362421 | Julia Jordan | Nurse Practitioner | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1013 | 2013-09-06 |
| 1609163971 | Vishesh Agarwal | Psychiatry & Neurology | 501 West 14th Street, Wilmington Hospital, 3rd Floor, Wilmington, DE 19801-1012 | 2011-07-07 |
| 1124289905 | Etern S Park | Dentist | 501 West 14th Street, Suite 2w44, Wilmington Hospital, Wilmington, DE 19801-2200 | 2008-06-24 |
| 1346383486 | Amro H. Shihabi | Oral & Maxillofacial Surgery | 501 West 14th Street, Dept. of Oral & Maxillofacial Surgery, Wilmington, DE 19899 | 2007-02-15 |
| 1790848331 | Lynsey Ellen Brandt | Internal Medicine | 501 West 14th Street, Second Floor Health Center, Wilmington, DE 19801-1013 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821481367 | Thomas Hufnal | Optometrist | 100 West 10th Street- Suite 115, Wilmington, DE 19899 | 2015-03-09 |
| 1841613775 | Urielpure Inc. | Case Management | One Commerce Center - 1201 Orange Street, #600, Wilmington, DE 19899 | 2014-01-29 |
| 1851414973 | Megan E O'hara | Social Worker | 501 W 14th Street - Wilmington Hospital, Wilmington, DE 19899 | 2007-04-06 |
| 1376518324 | Thomas Mammen | Surgery | 501 W14th St, Wilmington, DE 19899 | 2006-02-22 |
| 1952385122 | Christiana Care Health Services, Inc | Dentist | 501 W. 14th Street, Wilmington Hospital, Wilmington, DE 19899 | 2005-12-01 |
| 1306820725 | Christiana Care Health Services, Inc | Nurse Practitioner | Wilmington Hospital, 501 W. 14th Street, 2nd Floor, Wilmington, DE 19899 | 2005-11-30 |
| 1437646122 | Sana Sharma | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19899 | 2018-04-18 |
| 1720473705 | Eduardo Estades Romero Jr. | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Road, Christiana Care Health System, Newark, DE 19899 | 2015-04-06 |
| 1508259839 | Vision To Learn | Optometrist | 100 West 10th Street- Suite 115, Wilmington, DE 19899 | 2015-03-11 |
| 1669898664 | Alexandra Duncan-ramos | Psychologist | 501 W. 14th Street, Wilmington Hospital Health Center/amo, Wilmington, DE 19899 | 2014-03-14 |
| Find all providers in zip 19899 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044560 | Riccobene & Associates Xxxvi, Dds, P.a. | Dentist | 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 | 2019-10-15 |
| 1275044612 | Delaware Periodontics and Implants LLC | Dentist | 2300 Pennsylvania Ave Unit 5d, Wilmington, DE 19806-1392 | 2017-10-12 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1124181110 | Susan Kay Banta Dds Ms Pa | Dentist | 1611 Doctors Circle, Wilmington, NC 28401 | 2006-12-19 |
| 1003915091 | Darla Marie Brice | Dentist | 3512 Silverside Rd Ste 6, Wilmington, DE 19810-4941 | 2006-09-22 |
| 1871690438 | Margaret Munley | Dentist | 2004 Foulk Rd, Wilmington, DE 19810-3641 | 2006-09-17 |
| 1982719001 | Phyllis Byers Cook | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2006-08-20 |
| 1891744819 | Martin Scott Gould | Dentist | 7010 Market St, Wilmington, NC 28411-9728 | 2006-05-08 |
| 1053391706 | Bradford L Klassman | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2006-01-19 |
| 1104820174 | Stephen Curtis Wallace | Dentist | 2525 Delaney Rd, Wilmington, NC 28403-6003 | 2005-06-08 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19899 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.