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

Dr. Michael Tyler Broadbent, DDS

Individual provider General Practice Dentistry · NPI 1710390448

Dr. Michael Tyler Broadbent, DDS is a General Practice Dentistry in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1058 N Higley Rd Ste 212
Mesa, AZ 85205-5399
Phone: (480) 924-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D008960 (AZ)

Record details

NPI number1710390448
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 10, 2014
Last updated in NPPESJune 10, 2014
Mailing address9266 E Keats Ave, Mesa, AZ 85209-2523

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