Whalio Doctors

NPI 1083803498

Stephen Boyd Broughton, DDS

Practitioner General Practice Dentistry Clarksburg, WV

Practice location

Address
117 1/2 Nicholas St, Clarksburg, WV 26301
Phone
(304) 623-5186

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 2566 (WV)

Registry record

NPI
1083803498
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Oct 2007
Record last updated
22 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.