Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922124478 Individual Practitioner Female Practitioner

Dr. Maiko Daisy Broadhead , DMD

Dentist - General Practice • Front Royal, VA

Professional Overview & Biography Verified Profile Summary

Dr. Maiko Broadhead, DMD is a registered healthcare professional specializing in Dentist - General Practice in Front Royal, VA. Practice services are available at 80 W 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 W 4th St

Front Royal, VA 226302608

Telephone 5406354567
Associated Practice Facility / Clinic
🏢 Front Royal Dental Care, Llc Facility NPI 1891954319

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Front Royal, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Front Royal, VA (3535 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

CMS Verified: 2026-02-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401413785

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
NPI 1811187362

Doctor of Dental Medicine

Dr. Harry Heard , DDS

Dentist - General Practice

NPI 1972633097

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 24, 2026

Registered at 80 W 4TH ST, FRONT ROYAL, VA 226302608 (Tel: 5406354567)

📍
Updated Business Mailing Address February 24, 2026

Registered at 80 W 4TH ST, FRONT ROYAL, VA 226302608 (Tel: 5406354567)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2026

Dentist (License #0401413785 in VA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 319 W GENERAL SCREVEN WAY STE H, HINESVILLE, GA 313133065 (Tel: 9123686881)

📍
Updated Business Mailing Address July 08, 2007

Registered at 319 W GENERAL SCREVEN WAY STE H, HINESVILLE, GA 313133065 (Tel: 9123686881)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MAIKO BROADHEAD, DMD

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

Dentist (License #013190 in GA)

🟢
Initial NPI Registration & Enumeration March 22, 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: 1922124478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: February 24, 2026
Sole Proprietor: No

Mailing Address

80 W 4th St

Front Royal, VA 226302608

Phone: 5406354567

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.