CHARLES E BROADWAY DMD PA NPI 1740367879

NPI Information

CHARLES E BROADWAY, DMD, PA is a general practice dentist in Eustis, FL. 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. CHARLES E BROADWAY, DMD, PA NPI is 1740367879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1141 S EUSTIS ST
EUSTIS, FL
ZIP 32726-558
Phone: (352) 589-2099
Fax: (352) 589-6046

The provider's authorized official is Charles Estes Broadway .
The authorized official title is Dentist/owner and has the following contact phone number (352) 589-2099.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.