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Broadway Family And Cosmetic Dentistry, P.c.
General Practice Dentistry in Council Bluffs, Iowa
NPI 1053442244

Broadway Family And Cosmetic Dentistry, P.c. is a General Practice Dentistry based in Council Bluffs, IA and is specialized in General Practice. Broadway Family And Cosmetic Dentistry, P.c. practices in Council Bluffs, IA. The NPI Number for Broadway Family And Cosmetic Dentistry, P.c. is 1053442244 and holds a License No. 6699 (Iowa).

The current practice location address for Broadway Family And Cosmetic Dentistry, P.c. is 2612 W Broadway, Council Bluffs, IA and can be reached out via phone at 712-323-3615 and via fax at 712-325-6155.

Location: 2612 W Broadway, Council Bluffs, IA, 51501-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053442244
Provider Name
Broadway Family And Cosmetic Dentistry, P.c.
Credential
Provider Entity Type
Organization
Address
2612 W Broadway, Council Bluffs, IA, 51501-3510
Phone Number
712-323-3615
Fax Number
712-325-6155
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18575 01 IA DELTA DENTAL OF IOWA
5334 01 NE BLUE CROSS
18575 01 IA WELLMARK
039537 01 PA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2612 W Broadway
City
Council Bluffs
State
Iowa
Zip
51501-3510
Phone Number
712-323-3615
Fax Number
712-325-6155
person
Provider Business Mailing Address Details
Address
2612 W Broadway
City
Council Bluffs
State
Iowa
Zip
51501-3510
Phone Number
712-323-3615
Fax Number
712-325-6155
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6699 (Iowa)
Definition
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.
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