Broad Smiles Llc

LBN: Broad Smiles Llc
Broad Smiles Llc is an health care organization with primary practice located at 600 Loring Ave Ste 8 , Salem MA 01970-4264. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Broad Smiles Llc can be contacted via phone (978) 910-0004, or through Park, Hubert J via phone (617) 895-6700.

Contact Information

Primary practice address
600 Loring Ave Ste 8 Salem MA 01970-4264
Phone: (978) 910-0004
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Hubert J DMD, MPH
Phone: (617) 895-6700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1831766211
LBN Legal business name Broad Smiles Llc
DBA Doing business as
Authorized official Park, Hubert J DMD, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2021
Last updated Jun 5th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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