Broadway Dentist Llc

LBN: Broadway Dentist Llc
Broadway Dentist Llc is an health care organization with primary practice located at 609 Broadway , Everett MA 02149-3712. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Broadway Dentist Llc can be contacted via phone (617) 389-3636, or through Itkes, Peter via phone (617) 694-1614.

Contact Information

Primary practice address
609 Broadway Everett MA 02149-3712
Phone: (617) 389-3636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Itkes, Peter
Phone: (617) 694-1614

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 21366 Massachusetts

Profile Details

NPI number 1235381302
LBN Legal business name Broadway Dentist Llc
DBA Doing business as
Authorized official Itkes, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 17 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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