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

Landen Broadhead

Individual provider Dentist · NPI 1013455492

Landen Broadhead is a Dentist in Travis AFB, California. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2017
Specialties on file
2

Practice location Address checks out

151 Bodin Cir
Travis AFB, CA 94535-1801
Phone: (707) 423-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13972455-9926 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1013455492
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2017
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809

Other providers in Travis AFB