Broadway Dental Group Pllc

LBN: Broadway Dental Group Pllc
Broadway Dental Group Pllc is an health care organization with primary practice located at 7410 Broadway , Elmhurst NY 11373-5609. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty. Broadway Dental Group Pllc can be contacted via phone (516) 476-4509, or through Soleimanzadeh, Farajollah via phone (516) 476-4509.

Contact Information

Primary practice address
7410 Broadway Elmhurst NY 11373-5609
Phone: (516) 476-4509
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Soleimanzadeh, Farajollah Doctor of Dental Medicine (DMD)
Phone: (516) 476-4509

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1740901867
LBN Legal business name Broadway Dental Group Pllc
DBA Doing business as
Authorized official Soleimanzadeh, Farajollah Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2022
Last updated Sep 7th, 2022 - about 2 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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