Broadway Family and Cosmetic Dentistry, Partnership
Broadway Family and Cosmetic Dentistry, Partnership provides General Practice Dentistry in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2010.
- Licensed in
- IA
- In the registry since
- 2010
Practice location Address checks out
2612 W BroadwayCouncil Bluffs, IA 51501-3510 Not confirmed with CMS for 15 years — call before visiting
Phone: (712) 323-3615
Fax: (712) 325-6155
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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 6699 (IA) |
|---|
Record details
| NPI number | 1063715969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Smith — Dentist · (712) 323-3615 |
| NPI enumerated | December 15, 2010 |
| Last updated in NPPES | December 15, 2010 |
| Mailing address | 2612 W Broadway, Council Bluffs, IA 51501-3510 |
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Broadway Family and Cosmetic Dentistry, PC
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