Broadway Dentistry, Pc

LBN: Broadway Dentistry, Pc
Broadway Dentistry, Pc is an health care organization with primary practice located at 9247 Broadway Suite C, Merrillville IN 46410-7018. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Broadway Dentistry, Pc can be contacted via phone (219) 769-1485, or through Kenfield, Melissa E via phone (219) 769-1485.

Contact Information

Primary practice address
9247 Broadway Suite C Merrillville IN 46410-7018
Phone: (219) 769-1485
Fax: (219) 769-1493
Website:
Map and Directions
Authorized official contact:
Name: Kenfield, Melissa E Doctor of Dental Surgery (DDS)
Phone: (219) 769-1485

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12011101A Indiana

Profile Details

NPI number 1386899821
LBN Legal business name Broadway Dentistry, Pc
DBA Doing business as
Authorized official Kenfield, Melissa E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2008
Last updated Nov 25th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386899821 NPPES
Indiana Other 12011101A IN STATE DENTAL LICENSE

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