IndividualActive
Anthony Broccoli, DMD
NPI 1114149184 · Orthodontics and Dentofacial Orthopedics Dentistry · Andover, MA
Provider details
- NPI number
- 1114149184
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 16891 (MA)
Specialties & taxonomies
Dental Providers
Practice location
15 Central St
Andover, MA 01810
Phone: (978) 475-0450
Approximate (ZIP-level) locationGet directions
Mailing address
15 Central St
Andover, MA 01810
Registry dates
- Enumerated
- 2007-05-02
- 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.