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BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC NPI 1639537616


NPI Information

NPI: 1639537616
Provider Name: BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC

Doing Business As: BROADWAY FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5716 BROADWAY AVENUE
CLEVELAND, OH
ZIP 44127
Phone: (216) 862-4990
Get Directions

BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC is a dental clinic center in Cleveland, OH. BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC NPI is 1639537616. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Family Dental.

The provider's business location address is:

5716 BROADWAY AVENUE
CLEVELAND, OH
ZIP 44127-715
Phone: (216) 862-4990
Fax: (216) 862-3585

The provider's authorized official is Tariq Sayegh Sayegh .
The authorized official title is Owner/doctor and has the following contact phone number 14404543536.

The enumeration date for this NPI number is 2/4/2016 and was last updated on 2/4/2016.


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
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12943391MEDICAIDOHIO

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: 11/14/2023

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