Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821062746 Individual Practitioner Male Practitioner

Dr. Stephen Paul Broderson , DDS

Dentist - General Practice • Santa Fe, NM

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Broderson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Santa Fe, NM. Practice services are available at 7 AVENIDA VISTA GRANDE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7 Avenida Vista Grande
No.108

Santa Fe, NM 875089198

Telephone 5057573456
Fax 5057573456
Associated Practice Facility / Clinic
🏢 Zenun Inc Facility NPI 1912009259

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Santa Fe, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
56 Specialists

Practicing in Santa Fe, NM (761 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

State License NM 2318

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

1 Associated Practitioners
Steven Degennaro , LMT

Massage Therapist

NPI 1114176351

Licensed Massage Therapist

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 7 AVENIDA VISTA GRANDE, NO.108, SANTA FE, NM 875089198 (Tel: 5057573456)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7 AVENIDA VISTA GRANDE, NO.108, SANTA FE, NM 875089198 (Tel: 5057573456)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN BRODERSON, D.D.S.

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

Dentist (License #2318 in NM)

🟢
Initial NPI Registration & Enumeration February 15, 2006

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: 1821062746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

7 Avenida Vista Grande, No.108

Santa Fe, NM 875089198

Phone: 5057573456

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.