Broadway Family Dental Center

LBN: Broadway Family Dental Center
Broadway Family Dental Center is an health care organization with primary practice located at 595 N Broadway St , Coal City IL 60416-1046. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Broadway Family Dental Center can be contacted via phone (815) 634-8009, or through Pullara, Peter J via phone (815) 634-8009.

Contact Information

Primary practice address
595 N Broadway St Coal City IL 60416-1046
Phone: (815) 634-8009
Fax: (815) 634-2008
Website:
Map and Directions
Authorized official contact:
Name: Pullara, Peter J Doctor of Dental Surgery (DDS)
Phone: (815) 634-8009

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019021493 Illinois

Profile Details

NPI number 1922378900
LBN Legal business name Broadway Family Dental Center
DBA Doing business as
Authorized official Pullara, Peter J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 14 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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