Charles E Broadway, Dmd, Pa in Eustis - General Practice
Charles E Broadway, Dmd, Pa - NPI 1740367879
Charles E Broadway, Dmd, Pa is a General Practice in Eustis, Florida. Charles E Broadway, Dmd, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles E Broadway, Dmd, Pa is 1740367879. The last update date is 2020-08-22.
Charles E Broadway, Dmd, Pa's current location address is 1141 S Eustis St, Eustis, Florida. You can contact this provider via phone number 3525892099 and fax number 3525896046. The mailing address for Charles E Broadway, Dmd, Pa is 1141 S Eustis St, Eustis, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles E Broadway, Dmd, Pa |
|---|---|
| Address | 1141 S Eustis St, Eustis, Florida |
| Phone Number | 3525892099 |
| Fax Number | 3525896046 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Broadway Estes Charles |
| Credentials | DMD |
| Telephone Number | 3525892099 |
NPI Number Detail
| NPI Number | 1740367879 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1141 S Eustis St |
|---|---|
| City | Eustis |
| State | Florida (FL) |
| Post Code | 327265558 |
| Phone Number | 3525892099 |
| Fax Number | 3525896046 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN8829 |
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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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What is the unique identifier code issued to Charles E Broadway, Dmd, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Charles E Broadway, Dmd, Pa has been assigned the NPI (National Provider Identifier) 1740367879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Charles E Broadway, Dmd, Pa's physical address?
The Charles E Broadway, Dmd, Pa is physically located at 1141 S Eustis St, in the city of Eustis, FL, with the postal code 327265558.
What is the Charles E Broadway, Dmd, Pa's specialty and taxonomy code?
The Charles E Broadway, Dmd, Pa's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did Charles E Broadway, Dmd, Pa receive its 1740367879 assignment from the Centers for Medicare & Medicaid Services?
The Charles E Broadway, Dmd, Pa was assigned its 1740367879 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Charles E Broadway, Dmd, Pa most recently updated or revised?
The details related to Charles E Broadway, Dmd, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.