Broadway Smiles Pc

LBN: Broadway Smiles Pc
Broadway Smiles Pc is an health care organization with primary practice located at 1707 S Broadway St Suite 10, Sulphur Springs TX 75482-4960. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Broadway Smiles Pc can be contacted via phone (703) 338-9736, or through Shetty, Praveena Seetharam via phone (703) 338-9736.

Contact Information

Primary practice address
1707 S Broadway St Suite 10 Sulphur Springs TX 75482-4960
Phone: (703) 338-9736
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shetty, Praveena Seetharam Doctor of Dental Medicine (DMD)
Phone: (703) 338-9736

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 26239 Texas

Profile Details

NPI number 1194075341
LBN Legal business name Broadway Smiles Pc
DBA Doing business as
Authorized official Shetty, Praveena Seetharam Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2012
Last updated Sep 14th, 2012 - about 12 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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