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

Tina Andrea Broderick, RDH

Individual provider Dental Hygienist · NPI 1063085413

Tina Andrea Broderick, RDH is a Dental Hygienist in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
Specialties on file
2
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

6401 S Richards Ave
Santa Fe, NM 87508-4887
Phone: (505) 984-5048
Fax: (505) 988-3246
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DH1049 (NM)
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1063085413
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedJuly 22, 2021
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

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