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Broadway Dentistry, Pc
General Practice Dentistry in Merrillville, Indiana
NPI 1386899821

Broadway Dentistry, Pc is a General Practice Dentistry based in Merrillville, IN and is specialized in General Practice. Broadway Dentistry, Pc practices in Merrillville, IN. The NPI Number for Broadway Dentistry, Pc is 1386899821 and holds a License No. 12011101A (Indiana).

The current practice location address for Broadway Dentistry, Pc is 9247 Broadway, Merrillville, IN and can be reached out via phone at 219-769-1485 and via fax at 219-769-1493. You can also correspond with Broadway Dentistry, Pc through the mailing address at 9247 BROADWAY, MERRILLVILLE, IN - 46410-7018 (mailing address contact number: 219-769-1485).

Location: 9247 Broadway, Merrillville, IN, 46410-7018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386899821
Provider Name
Broadway Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
9247 Broadway, Merrillville, IN, 46410-7018
Phone Number
219-769-1485
Fax Number
219-769-1493
Provider Enumeration Date
11/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12011101A 01 IN IN STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
9247 Broadway
City
Merrillville
State
Indiana
Zip
46410-7018
Phone Number
219-769-1485
Fax Number
219-769-1493
person
Provider Business Mailing Address Details
Address
9247 Broadway
City
Merrillville
State
Indiana
Zip
46410-7018
Phone Number
219-769-1485
Fax Number
219-769-1493
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12011101A (Indiana)
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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