BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC (NPI# 1639537616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639537616 |
| Entity Type | Organization |
| Organization Name | BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC |
| Other Organization Name | BROADWAY FAMILY DENTAL |
| Practice Address |
5716 Broadway Avenue Cleveland OH 44127-1715 |
| Practice Telephone | 2168624990 |
| Practice Fax Number | 2168623585 |
| Mailing Telephone | 2168624990 |
| Mailing Fax Number | 2168623585 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | DR. TARIQ SAYEGH SAYEGH (OWNER/DOCTOR) |
| Authorized Official Telephone | 14404543536 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2943391 | 05 |
| Other Name | Type Code |
|---|---|
| Broadway Family Dental | Doing Business As Name - Organization |
| Street Address |
5716 BROADWAY AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44127-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
| 1932602018 | Daisetta Harris | Counselor | 3100 East 45 Place, 212, Cleveland, OH 44127 | 2018-03-14 |
| 1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
| 1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
| 1578004065 | Lorene Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 438, Cleveland, OH 44127 | 2017-03-16 |
| 1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
| 1568881803 | Broadway Academy, Inc. | Local Education Agency (LEA) | 3398 East 55th Street, Cleveland, OH 44127 | 2014-04-15 |
| 1154665966 | Rose Ann Broadus | Home Health Aide | 3926 Mcbride Avenue, Cleveland, OH 44127 | 2012-11-16 |
| 1396002457 | Ne'cole Lynn Broadus | Home Health Aide | 5073 Pershing Avenue, Cleveland, OH 44127 | 2012-04-13 |
| 1790059764 | Sheniece Fountaine | Home Health | 7028 Ivy Ave, Cleveland, OH 44127 | 2012-03-08 |
| Find all providers in zip 44127 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659723534 | Innovative Dental | Clinic/Center | 13922 Cedar Rd Ste 3, Cleveland, OH 44118-3204 | 2016-07-05 |
| 1407207103 | Union Dental Care, Jeffrey J. Hildebrandt, Dds, Inc. | Clinic/Center | 17535 Rosbough Blvd Ste 203, Cleveland, OH 44130-8362 | 2016-06-24 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1821118787 | M. J. Chrzanowski, D.d.s., Inc. | Clinic/Center | 782 E 185th St, Cleveland, OH 44119-2174 | 2007-04-01 |
| 1396874426 | Care Alliance | Clinic/Center | 1530 Saint Clair Avenue, Cleveland, OH 44114-2004 | 2007-03-05 |
| 1750418380 | Denison Dental Assoc Inc | Clinic/Center | 7140 Denison Ave, Cleveland, OH 44102 | 2007-02-28 |
| 1225648017 | Youstina Mozeih Shaker Mikhail | Clinic/Center | 9601 Chester Ave, Cleveland, OH 44106-1666 | 2020-08-05 |
| 1952919714 | Brooklyn Dental Group, Jeffrey S. Rosenthal, D.d.s., Inc. | Clinic/Center | 4163 Pearl Rd, Cleveland, OH 44109-3332 | 2020-07-17 |
| 1124644455 | Delta Family Dental, Pllc | Clinic/Center | 201 W Sunflower Rd, Cleveland, MS 38732-2637 | 2020-06-23 |
| 1215569587 | Dental Associates of Cleveland | Clinic/Center | 33 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2020-02-05 |
| Find all providers in CLEVELAND | ||||
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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.