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Mary Broderick, RDH — NPI 1134401490, Appleton, NY | NPI Central

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Mary Broderick, RDH

NPI 1134401490 · Dental Hygienist · Appleton, NY

Provider details

NPI number: 1134401490
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH
Sex: Female
Sole proprietor: Yes
License: 016112-1 (NY)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense 016112-1 (NY)
Dental Providers

Practice location

6419 Lake Rd

Appleton, NY 14008-9606

Phone: (716) 297-0798

Fax: (716) 297-0998

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

6419 Lake Rd

Appleton, NY 14008-9606

Registry dates

Enumerated: 2011-09-13
Last updated: 2011-09-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.