Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467504472 Individual Practitioner Female Practitioner

Dr. Tara Kimberly Broderick , DMD

Dentist - General Practice • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Tara Broderick, DMD is a registered healthcare professional specializing in Dentist - General Practice in Hackensack, NJ. Practice services are available at 645 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

645 Main St

Hackensack, NJ 076014712

Telephone 2014888300
Fax 2014885953

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
53 Specialists

Practicing in Hackensack, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ben Liu , DDS

Dentist - Pediatric Dentistry

NPI 1104120153

Doctor of Dental Surgery

Dr. Mark Ragen , DDS

Dentist - General Practice

NPI 1285752956

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 645 MAIN ST, HACKENSACK, NJ 076014712 (Tel: 2014888300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 645 MAIN ST, HACKENSACK, NJ 076014712 (Tel: 2014888300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TARA BRODERICK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467504472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

645 Main St

Hackensack, NJ 076014712

Phone: 2014888300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.