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

Dr. John G. Broderick, DMD

Individual provider Periodontics · NPI 1841403953

Dr. John G. Broderick, DMD is a Periodontics in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

167 Gano St
Providence, RI 02906-3808
Phone: (401) 274-2600
Fax: (401) 421-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DEN02700 (RI)

Record details

NPI number1841403953
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address200 Heroux Blvd Unit 507, Cumberland, RI 02864-2384

Other providers in Providence