- Practice location
- 738 Broadway, Brooklyn, NY 11206-4403
- Phone
- 212-410-6969
- Fax
- 212-410-6989
- Last updated
- August 3, 2012
Broadway Dental Arts PC is a healthcare organization based in Brooklyn, NY. Broadway Dental Arts PC practices in Brooklyn, NY. The NPI Number for Broadway Dental Arts PC is 1730435140 and holds a License No. 054305 (NY). The current practice location address for Broadway Dental Arts PC is 738 Broadway, Brooklyn, NY 11206-4403 and can be reached out via phone at 212-410-6969 and via fax at 212-410-6989.
Provider Profile Details
- NPI Number
- 1730435140
- Provider Name
- Broadway Dental Arts PC
- Provider Entity Type
- Organization
- Address
- 738 Broadway, Brooklyn, NY 11206-4403
- Phone Number
- 212-410-6969
- Fax Number
- 212-410-6989
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mattew Min Kuy Kim, DDS · President · 212-410-6969
- Provider Enumeration Date
- August 3, 2012
- Last Update Date
- August 3, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 738 Broadway
Brooklyn, NY 11206-4403 - City
- Brooklyn
- State
- New York
- Zip
- 11206-4403
- Phone Number
- 212-410-6969
- Fax Number
- 212-410-6989
Provider Business Mailing Address Details
- Address
- 2071 2ND Ave
New York, NY 10029-4101 - City
- New York
- State
- NY
- Zip
- 10029-4101
- Phone Number
- 212-410-6969
- Fax Number
- 212-410-6989
License Information
- License Number
- 054305
- License State
- NY
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Arts PC?
The NPI number of Broadway Dental Arts PC is 1730435140. It was assigned on August 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Broadway Dental Arts PC?
Broadway Dental Arts PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 054305.
Where does Broadway Dental Arts PC practice?
The practice location is 738 Broadway, Brooklyn, NY 11206-4403. The office can be reached at 212-410-6969 (phone) or 212-410-6989 (fax).
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 1730435140 directly on the NPPES registry website.