Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Broadway Family and Cosmetic Dentistry, PC

Organization General Practice Dentistry · NPI 1053442244

Broadway Family and Cosmetic Dentistry, PC provides General Practice Dentistry in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in
IA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2612 W Broadway
Council Bluffs, IA 51501-3510 Not confirmed with CMS for 18 years — call before visiting
Phone: (712) 323-3615
Fax: (712) 325-6155
Show map & directions

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 number1053442244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Smith — Owner · (712) 323-3615
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 1, 2008
Mailing address2612 W Broadway, Council Bluffs, IA 51501-3510

Other providers in Council Bluffs