IndividualActive
Diane Broom, DMD
NPI 1447885173 · General Practice Dentistry · Newberry, SC
Provider details
- NPI number
- 1447885173
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 9569 (SC)
Specialties & taxonomies
Dental Providers
Practice location
2039 Medical Park Dr
Newberry, SC 29108-2249
Phone: (803) 276-3371
Approximate (ZIP-level) locationGet directions
Mailing address
323 Koon Trestle Rd
Pomaria, SC 29126-8979
Registry dates
- Enumerated
- 2020-03-03
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.