Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Drs Broderick Vaught & Dusek PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1114017530

Drs Broderick Vaught & Dusek PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Savannah, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Eisenhower Dr
Savannah, GA 31406
Phone: (912) 355-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN012058 (GA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DN010006 (GA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DN011121 (GA)

Record details

NPI number1114017530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Broderick — Owner Partner · (912) 355-7022
Other names Thomas R Broderick Robert A Vaught Mark W Dusek
NPI enumeratedOctober 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address500 Eisenhower Drive, Savannah, GA 31406

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