Active NPIOrganization

Broadway Dental PC

Clinic/Center, Dental in Bangor, Maine

NPI Number1063134708
Practice location
743 Broadway, Bangor, ME 04401-3225
Fax
—
Last updated
September 19, 2022

Broadway Dental PC is a healthcare organization based in Bangor, ME. Broadway Dental PC practices in Bangor, ME. The NPI Number for Broadway Dental PC is 1063134708. The current practice location address for Broadway Dental PC is 743 Broadway, Bangor, ME 04401-3225 and can be reached out via phone at 207-945-5300.

Provider Profile Details

NPI Number
1063134708
Provider Name
Broadway Dental PC
Provider Entity Type
Organization
Address
743 Broadway, Bangor, ME 04401-3225
Phone Number
207-945-5300
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Rebekah K Blanchette, DDS · Owner · 207-945-5300
Provider Enumeration Date
September 19, 2022
Last Update Date
September 19, 2022
Certification Date
September 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
743 Broadway
Bangor, ME 04401-3225
City
Bangor
State
Maine
Zip
04401-3225
Phone Number
207-945-5300
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
743 Broadway
Bangor, ME 04401-3225
City
Bangor
State
ME
Zip
04401-3225
Phone Number
207-945-5300

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Broadway Dental PC?

The NPI number of Broadway Dental PC is 1063134708. It was assigned on September 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Broadway Dental PC?

Broadway Dental PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Broadway Dental PC practice?

The practice location is 743 Broadway, Bangor, ME 04401-3225. The office can be reached at 207-945-5300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063134708 directly on the NPPES registry website.

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