IndividualActive
Michele Broder, DMD
NPI 1023036910 · Periodontics · Wilmington, DE
Provider details
- NPI number
- 1023036910
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- G1-0001021 (DE)
Specialties & taxonomies
Dental Providers
Practice location
2300 Pennsylvania Ave
Suite 5c
Wilmington, DE 19806-1392
Phone: (302) 652-1533
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Pennsylvania Ave
Wilmington, DE 19806-1392
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.