BROADWAY DENTAL LLC (NPI# 1356622435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356622435 |
| Entity Type | Organization |
| Organization Name | BROADWAY DENTAL LLC |
| Other Organization Name | DBA SMILES ON BROADWAY |
| Practice Address |
55 E. Broadway Tempe AZ 85282 |
| Mailing Address |
3414 W. Union Hills Dr Unit 8 Phoenix AZ 85027 |
| Practice Telephone | 4806642244 |
| Practice Fax Number | 6232369360 |
| Mailing Telephone | 4806642244 |
| Mailing Fax Number | 6232369360 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | TAROLL A GRAZIANO (MANAGER) |
| Authorized Official Telephone | 6235567789 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D7840 | AZ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7840 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| dba Smiles on Broadway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790816817 | Broadway Dental LLC | Dentist | 1415 Broadway, Denison, IA 51442-2052 | 2007-03-08 |
| Street Address |
55 E. BROADWAY |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1487110672 | Greding Family Dental Pllc | Dentist | 3244 S Mill Ave Ste 105, Tempe, AZ 85282-3688 | 2019-02-13 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1548740483 | Jeffrey Arthur Mathews | Dentist | 7517 S Mcclintock Dr Ste 106, Tempe, AZ 85283-5011 | 2018-08-20 |
| 1699254680 | Melina Ghods | Dentist | 419 West Calle De Caballos, Tempe, AZ 85284-8528 | 2018-08-09 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1518326636 | John G Fletcher Dmd Pllc | Dentist | 2600 E Southern Ave Ste B1, Tempe, AZ 85282-7745 | 2016-02-17 |
| 1336542786 | Tempe Family Dental Pllc | Dentist | 6200 S Mcclintock Dr Ste 115, Tempe, AZ 85283-3449 | 2014-09-30 |
| 1396154746 | Yehia Imam | Dentist | 2034 E Southern Ave Ste A, Tempe, AZ 85282-7522 | 2014-08-11 |
| Find all providers in TEMPE | ||||
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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.