Broadway Smiles Pc in Cushing - General Practice

Broadway Smiles Pc - NPI 1811161839

Broadway Smiles Pc is a General Practice in Cushing, Oklahoma. Broadway Smiles Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Broadway Smiles Pc is 1811161839. The last update date is 2008-04-22.

Broadway Smiles Pc's current location address is 601 E Broadway St, Cushing, Oklahoma. You can contact this provider via phone number 9182855500 and fax number 9182855502. The mailing address for Broadway Smiles Pc is 601 E Broadway St, Cushing, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broadway Smiles Pc
Address 601 E Broadway St, Cushing, Oklahoma
Phone Number 9182855500
Fax Number 9182855502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bugg Ryan Christopher
Credentials DDS
Telephone Number 9182855500

NPI Number Detail

NPI Number 1811161839
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 601 E Broadway St
City Cushing
State Oklahoma (OK)
Post Code 740233432
Phone Number 9182855500
Fax Number 9182855502

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5628
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100845810A OK --

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FAQs about Broadway Smiles Pc

What is the unique 10-digit identification code issued to Broadway Smiles Pc by the Centers for Medicare & Medicaid Services?

The Broadway Smiles Pc has been assigned the NPI (National Provider Identifier) 1811161839 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Broadway Smiles Pc's physical address?

The Broadway Smiles Pc is physically located at 601 E Broadway St, in the city of Cushing, OK, with the postal code 740233432.

What is Broadway Smiles Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Broadway Smiles Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did Broadway Smiles Pc receive its 1811161839 assignment from the Centers for Medicare & Medicaid Services?

The Broadway Smiles Pc was assigned its 1811161839 on 2008-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Broadway Smiles Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Broadway Smiles Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-22.

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