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

Broadway Family Dental Center

Organization General Practice Dentistry · NPI 1922378900

Broadway Family Dental Center provides General Practice Dentistry in Coal City, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

595 N Broadway St
Coal City, IL 60416-1046 Not confirmed with CMS for 14 years — call before visiting
Phone: (815) 634-8009
Fax: (815) 634-2008
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 019021493 (IL)

Record details

NPI number1922378900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Pullara — Dentist/Owner · (815) 634-8009
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012
Mailing address595 N Broadway St, Coal City, IL 60416-1046

Other providers in Coal City