Broadway Family And Cosmetic Dentistry, P.C. in Council Bluffs - General Practice
Broadway Family And Cosmetic Dentistry, P.C. - NPI 1053442244
Broadway Family And Cosmetic Dentistry, P.C. is a General Practice in Council Bluffs, Iowa. Broadway Family And Cosmetic Dentistry, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Broadway Family And Cosmetic Dentistry, P.C. is 1053442244. The last update date is 2008-08-01.
Broadway Family And Cosmetic Dentistry, P.C.'s current location address is 2612 W Broadway, Council Bluffs, Iowa. You can contact this provider via phone number 7123233615 and fax number 7123256155. The mailing address for Broadway Family And Cosmetic Dentistry, P.C. is 2612 W Broadway, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Family And Cosmetic Dentistry, P.C. |
|---|---|
| Address | 2612 W Broadway, Council Bluffs, Iowa |
| Phone Number | 7123233615 |
| Fax Number | 7123256155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Smith A. Gary |
| Credentials | D.D.S. |
| Telephone Number | 7123233615 |
NPI Number Detail
| NPI Number | 1053442244 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 2612 W Broadway |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515013510 |
| Phone Number | 7123233615 |
| Fax Number | 7123256155 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6699 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18575 | IA | DELTA DENTAL OF IOWA | |
| 5334 | NE | BLUE CROSS | |
| 18575 | IA | WELLMARK | |
| 39537 | PA | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Broadway Family And Cosmetic Dentistry, P.C. by the Centers for Medicare & Medicaid Services?
The Broadway Family And Cosmetic Dentistry, P.C. has been issued the NPI (National Provider Identifier) 1053442244, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Broadway Family And Cosmetic Dentistry, P.C. is geographically located?
The Broadway Family And Cosmetic Dentistry, P.C. is physically situated at the following location: 2612 W Broadway, Council Bluffs, IA, 515013510.
What is Broadway Family And Cosmetic Dentistry, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Broadway Family And Cosmetic Dentistry, P.C.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053442244 to Broadway Family And Cosmetic Dentistry, P.C.?
The Broadway Family And Cosmetic Dentistry, P.C. received its 1053442244 assignment from the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date was the information regarding Broadway Family And Cosmetic Dentistry, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Broadway Family And Cosmetic Dentistry, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-01.
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