Broad Street Braces

LBN: Broad Street Braces
Broad Street Braces is an health care organization with primary practice located at 2010 S Juniper St , Philadelphia PA 19148-5509. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Broad Street Braces can be contacted via phone (201) 452-9270, or through Uffner, Neil via phone (201) 452-9270.

Contact Information

Primary practice address
2010 S Juniper St Philadelphia PA 19148-5509
Phone: (201) 452-9270
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Uffner, Neil D.M.D, M.S.
Phone: (201) 452-9270

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS039143 Pennsylvania

Profile Details

NPI number 1649629189
LBN Legal business name Broad Street Braces
DBA Doing business as
Authorized official Uffner, Neil D.M.D, M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2016
Last updated Jun 6th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649629189 NPPES
Pennsylvania MEDICAID 1028648360001

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