Broadway Gentle Dentistry Pc is a Dental Clinic in Kokomo, Indiana. It is located at 2302 S Dixon Rd Ste 125, Kokomo, IN and its contact number is 765-453-9389. The authorized person for Broadway Gentle Dentistry Pc is Edward T Mamaril
who is President of the clinic and their contact number is 765-453-9389. Other organizations associated with this clinic are Lakewood Family Dental Of Kokomo Pllc, Broadway Gentle Dentistry Pc, The primary license number for Broadway Gentle Dentistry Pc is 54001486A (General Practice) in Indiana.
Broadway Gentle Dentistry Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Broadway Gentle Dentistry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Broadway Gentle Dentistry Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2302 S Dixon Rd Ste 125, Kokomo,
Indiana, 46902-6425 |
| Phone: | 765-453-9389 |
| Fax: | 765-453-9369 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Edward T Mamaril |
| Position: | President |
| Contact Number: | 765-453-9389 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Broadway Gentle Dentistry Pc clinic are as mentioned below.
| NPI Number: | 1437238607 |
| NPI Enumeration Date: | 06 Nov, 2006 |
| NPI Last Update On: | 06 Oct, 2014 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Lakewood Family Dental Of Kokomo Pllc | General Practice Dentistry | 1346738556 |
| Broadway Gentle Dentistry Pc | General Practice Dentistry | 1437238607 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadway Gentle Dentistry Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 54001486A | Indiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Broadway Gentle Dentistry Pc
2302 S Dixon Rd Ste 125,
Kokomo, Indiana |
| Zip: | 46902-6425 |
| Phone Number: | 765-453-9389 |
| Fax Number: | 765-453-9369 |
Patients can reach Broadway Gentle Dentistry Pc at
2302 S Dixon Rd Ste 125, Kokomo, Indiana or can
call to book an appointment on 765-453-9389.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.