Broadway Dental Pc

LBN: Broadway Dental Pc
Broadway Dental Pc is an health care organization with primary practice located at 743 Broadway , Bangor ME 04401-3225. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Broadway Dental Pc can be contacted via phone (207) 945-5300, or through Blanchette, Rebekah K via phone (207) 945-5300.

Contact Information

Primary practice address
743 Broadway Bangor ME 04401-3225
Phone: (207) 945-5300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blanchette, Rebekah K Doctor of Dental Surgery (DDS)
Phone: (207) 945-5300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1063134708
LBN Legal business name Broadway Dental Pc
DBA Doing business as
Authorized official Blanchette, Rebekah K Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2022
Last updated Sep 19th, 2022 - about 4 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 1063134708 NPPES
Maine Other 1871684282 1-IND
Maine Other 1679142988 1-IND
Maine Other 1740591882 1-IND

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