Active NPIOrganization

Broadway Dental

Dentist in Revere, Massachusetts

NPI Number1396998621
Practice location
144 Broadway, Revere, MA 02151-5349
Fax
—
Last updated
October 30, 2008

Broadway Dental is a healthcare organization based in Revere, MA. Broadway Dental practices in Revere, MA. The NPI Number for Broadway Dental is 1396998621. The current practice location address for Broadway Dental is 144 Broadway, Revere, MA 02151-5349 and can be reached out via phone at 781-284-2275.

Provider Profile Details

NPI Number
1396998621
Provider Name
Broadway Dental
Provider Entity Type
Organization
Address
144 Broadway, Revere, MA 02151-5349
Phone Number
781-284-2275
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
Yes
Parent Organization
Eugene Bark DMD And Associates
Authorized Official
Eugene Bark · Dentist · 781-284-2275
Provider Enumeration Date
October 30, 2008
Last Update Date
October 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Broadway
Revere, MA 02151-5349
City
Revere
Zip
02151-5349
Phone Number
781-284-2275
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
144 Broadway
Revere, MA 02151-5349
City
Revere
State
MA
Zip
02151-5349

License Information

Taxonomy
Dentist · 122300000X · 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?

The NPI number of Broadway Dental is 1396998621. It was assigned on October 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Broadway Dental?

Broadway Dental is registered under the primary taxonomy Dentist (code 122300000X).

Where does Broadway Dental practice?

The practice location is 144 Broadway, Revere, MA 02151-5349. The office can be reached at 781-284-2275 (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 1396998621 directly on the NPPES registry website.

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