P Praxis·MD
● Active Type 2 · Organization

Drs Broderick Vaught & Dusek Pc

Dentist·Savannah, GA· NPI 1114017530 · Enumerated 2006 · 19 years on NPI
Drs Broderick Vaught & Dusek Pc is 1 of 526 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2006-10-14
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broderick
Owner Partner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 526 active dentist providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
500 Eisenhower Drive
Savannah, GA 31406
📞 9123557022
Mailing address
500 Eisenhower Drive
Savannah, GA 31406

Authorized official

Thomas R Broderick, DDS MS
Owner Partner
📞 9123557022

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #DN012058GA license #DN010006GA license #DN011121 taxonomy 1223X0400X

Identifiers

TypeValueNotes
05 (GA) 00536335A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Thomas R Broderick Robert A Vaught Mark W Dusek
    Type code 5 recorded 2006-10-14

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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