Broadway Pediatric Dentistry, Pllc

LBN: Broadway Pediatric Dentistry, Pllc
Broadway Pediatric Dentistry, Pllc is an health care organization with primary practice located at 3006 Broadway Ste 103 , San Antonio TX 78209-1561. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Broadway Pediatric Dentistry, Pllc can be contacted via phone (210) 225-8888, or through Ayala, Joanna via phone (121) 063-2456.

Contact Information

Primary practice address
3006 Broadway Ste 103 San Antonio TX 78209-1561
Phone: (210) 225-8888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayala, Joanna
Phone: (121) 063-2456

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1962159400
LBN Legal business name Broadway Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Ayala, Joanna
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2022
Last updated Mar 4th, 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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