Broad Smiles LLC
Dentist, Pediatric Dentistry in Salem, Massachusetts
1831766211- Practice location
- 600 Loring Ave Ste 8, Salem, MA 01970-4264
- Phone
- 978-910-0004
- Fax
- —
- Last updated
- June 5, 2021
Broad Smiles LLC is a healthcare organization based in Salem, MA. Broad Smiles LLC practices in Salem, MA. The NPI Number for Broad Smiles LLC is 1831766211. The current practice location address for Broad Smiles LLC is 600 Loring Ave Ste 8, Salem, MA 01970-4264 and can be reached out via phone at 978-910-0004.
Provider Profile Details
- NPI Number
- 1831766211
- Provider Name
- Broad Smiles LLC
- Provider Entity Type
- Organization
- Address
- 600 Loring Ave Ste 8, Salem, MA 01970-4264
- Phone Number
- 978-910-0004
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Hubert J Park, DMD, MPH · President · 617-895-6700
- Provider Enumeration Date
- June 5, 2021
- Last Update Date
- June 5, 2021
- Certification Date
- June 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 Loring Ave Ste 8
Salem, MA 01970-4264 - City
- Salem
- State
- Massachusetts
- Zip
- 01970-4264
- Phone Number
- 978-910-0004
Provider Business Mailing Address Details
- Address
- 600 Loring Ave Ste 8
Salem, MA 01970-4264 - City
- Salem
- State
- MA
- Zip
- 01970-4264
- Phone Number
- 978-910-0004
License Information
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Salem, MA
View all Dentist, Pediatric Dentistry providers in Salem →- Dr. Jason M Gould, DMDDentist, Pediatric Dentistry · NPI 1164434767
- Dr. Kyle M Edmonds, DDSDentist, Pediatric Dentistry · NPI 1811567498
- Dr. Stuart S Gould, DMDDentist, Pediatric Dentistry · NPI 1376530535
- Salem Pediatric Dental & Orthodontic AssociatesDentist, Pediatric Dentistry · NPI 1831534379
- Stuart S Gould DMDDentist, Pediatric Dentistry · NPI 1245410174
Frequently Asked Questions
What is the NPI number of Broad Smiles LLC?
The NPI number of Broad Smiles LLC is 1831766211. It was assigned on June 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Broad Smiles LLC?
Broad Smiles LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).
Where does Broad Smiles LLC practice?
The practice location is 600 Loring Ave Ste 8, Salem, MA 01970-4264. The office can be reached at 978-910-0004 (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 1831766211 directly on the NPPES registry website.