Brian William Brodersen, D.D.S.

General Practice Dentistry · Rochester, MN

Individual Active NPI

NPI number 1598112310

Practice location

922 Broadway Ave N
Rochester, MN 55906-6816
Phone
(507) 289-5838
Fax
(507) 536-2762

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NPI record

NPI
1598112310
Entity type
Individual (Type 1)
Enumeration date
May 22, 2016
Last updated
December 9, 2020
Certified
December 9, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D13668 MN

About Dr. Brodersen

Brian William Brodersen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 922 Broadway Ave N, Rochester, MN 55906-6816. The NPI number 1598112310 was assigned on May 22, 2016 and the record was last updated on December 9, 2020.

Dr. Brodersen lists a license in the registry: #D13668 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian William Brodersen, D.D.S.?

The NPI number is 1598112310.

What is the phone number of Dr. Brodersen?

The phone number listed for the practice location is (507) 289-5838.

Where is Dr. Brodersen located?

922 Broadway Ave N, Rochester, MN 55906-6816.

What is the taxonomy code for Dr. Brodersen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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