Broadway Dental Services

LBN: Broadway Dental Services
Broadway Dental Services is an health care organization with primary practice located at 3195 Broadway , Gary IN 46409-1006. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Broadway Dental Services can be contacted via phone (219) 671-3754, or through Kapilikisha, Mukuka via phone (219) 671-3754.

Contact Information

Primary practice address
3195 Broadway Gary IN 46409-1006
Phone: (219) 671-3754
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kapilikisha, Mukuka Doctor of Dental Medicine (DMD)
Phone: (219) 671-3754

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12011216A Indiana

Profile Details

NPI number 1215219084
LBN Legal business name Broadway Dental Services
DBA Doing business as
Authorized official Kapilikisha, Mukuka Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2011
Last updated Sep 16th, 2011 - about 15 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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