BROADWAY DENTAL CENTER, INC. (NPI# 1134509458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134509458 |
| Entity Type | Organization |
| Organization Name | BROADWAY DENTAL CENTER, INC. |
| Other Organization Name | S. DAVID BUCK, DDS |
| Practice Address |
310 Harvard Ave. E. Seattle WA 98102 |
| Practice Telephone | 2063241100 |
| Practice Fax Number | 2063246711 |
| Mailing Telephone | 2063241100 |
| Mailing Fax Number | 2063246711 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | DR. STEPHEN DAVID BUCK (OWNER/CEO) |
| Authorized Official Telephone | 2063241100 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6274 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DDS | 6274 | 01 |
| Other Name | Type Code |
|---|---|
| S. David Buck, DDS | Doing Business As Name - Organization |
| Street Address |
310 HARVARD AVE. E. |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
| 1902293608 | Emilie Zuckerman | Psychologist | 3123 Fairview Ave E Ste 303, Seattle, WA 98102 | 2015-04-20 |
| Find all providers in zip 98102 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1023637725 | Urban Dental Group | Clinic/Center | 6800 Greenwood Ave N Unit A, Seattle, WA 98103-5228 | 2020-04-13 |
| 1285260067 | Sonia Kim Takasaki Dmd Pllc | Clinic/Center | 9730 3rd Ave Ne Ste 204, Seattle, WA 98115-2023 | 2020-03-12 |
| 1396396339 | Megan K. Burns, Dds, Pllc | Clinic/Center | 8757 Holman Rd Nw, Seattle, WA 98117-3464 | 2019-09-20 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1881189322 | Ahdut Bean Pllc | Clinic/Center | 4219 S Othello St Ste 105d, Seattle, WA 98118-3873 | 2018-06-27 |
| 1154825321 | Aboulhosn and Valentine Pllc | Clinic/Center | 2815 2nd Ave Ste 101, Seattle, WA 98121-1262 | 2018-03-21 |
| 1184135881 | Revive Smiles Dentistry, LLC | Clinic/Center | 259 Yale Ave N, Seattle, WA 98109-5430 | 2017-10-20 |
| 1619497872 | Julia R Moritis Dds Pllc | Clinic/Center | 509 Olive Way Ste 1520, Seattle, WA 98101-1700 | 2017-06-20 |
| 1407382211 | Yen H. Nguyen-tran Dds, Pllc | Clinic/Center | 810 Martin Luther King Jr Way, Seattle, WA 98122-5046 | 2017-05-11 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.