Gay W. Brodersen, D.D.S.
Pediatric Dentistry · Schaumburg, IL
UnclaimedD.D.S.NPI 1972766798
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2008-07-02
- Practice location
- Schaumburg, IL
- Last NPPES update
- 2008-09-24
State licenses
- IL · Dentist · LICENSED DENTISTActivethrough 2027
- IL · Dentist · LICENSED SPECIALIST IN DENTISTRYActivethrough 2027
- IL · Dentist · TEMPORARY DENTAL TRAINING LICENSEExpiredthrough 1995
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.