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BROADWAY DENTAL LLC NPI 1356622435


NPI Information

NPI: 1356622435
Provider Name: BROADWAY DENTAL LLC

Doing Business As: DBA SMILES ON BROADWAY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
55 E. BROADWAY
TEMPE, AZ
ZIP 85282
Phone: (480) 664-2244
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BROADWAY DENTAL LLC is a general practice dentist in Tempe, AZ. The provider is 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. BROADWAY DENTAL LLC NPI is 1356622435. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dba Smiles On Broadway.

The provider's business location address is:

55 E. BROADWAY
TEMPE, AZ
ZIP 85282
Phone: (480) 664-2244
Fax: (623) 236-9360

The provider's authorized official is Taroll A Graziano .
The authorized official title is Manager and has the following contact phone number (623) 556-7789.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 9/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistD7840ARIZONANo
21223G0001XDentistGeneral PracticeD7840ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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