Broadway Dental, P.A.

LBN: Broadway Dental, P.A.
Broadway Dental, P.A. is an health care organization with primary practice located at 5621 S Broadway Ave , Tyler TX 75703-4348. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Broadway Dental, P.A. can be contacted via phone (951) 642-0948, or through Arif, Mohammad via phone (951) 642-0948.

Contact Information

Primary practice address
5621 S Broadway Ave Tyler TX 75703-4348
Phone: (951) 642-0948
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Arif, Mohammad Doctor of Dental Surgery (DDS)
Phone: (951) 642-0948

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 29244 Texas

Profile Details

NPI number 1740733104
LBN Legal business name Broadway Dental, P.A.
DBA Doing business as
Authorized official Arif, Mohammad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2016
Last updated Aug 2nd, 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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