Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broadway Dental, PA

Organization General Practice Dentistry · NPI 1740733104

Broadway Dental, PA provides General Practice Dentistry in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5621 S Broadway Ave
Tyler, TX 75703-4348 Not confirmed with CMS for 10 years — call before visiting
Phone: (951) 642-0948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 29244 (TX)

Record details

NPI number1740733104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Arif — President · (951) 642-0948
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016
Mailing address5621 S Broadway Ave, Tyler, TX 75703-4348

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