Broadway Dental Center, Llc is a Dental Clinic in Passaic, New Jersey. It is located at 15 Broadway, Passaic, NJ and its contact number is 973-777-1202. The authorized person for Broadway Dental Center, Llc is Guram Yakobashvili
who is Owner of the clinic and their contact number is 973-777-1202. Other organizations associated with this clinic are Broadway Dental Center, Llc, Broadway Dental Center Pc, Broadway Family Dental Llc, The primary license number for Broadway Dental Center, Llc is 20280 (General Practice) in New Jersey. Broadway Dental Center, Llc 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 Dental Center, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Broadway Dental Center, Llc
Specialization:
General Practice Dentistry
Clinic Address:
15 Broadway, Passaic, New Jersey, 07055-5007
Phone:
973-777-1202
Fax:
973-777-0159
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:
Guram Yakobashvili
Position:
Owner
Contact Number:
973-777-1202
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 Dental Center, Llc clinic are as mentioned below.
NPI Number:
1396968251
NPI Enumeration Date:
10 Apr, 2007
NPI Last Update On:
22 Aug, 2020
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
Broadway Dental Center, Llc
General Practice Dentistry
1396968251
Broadway Dental Center Pc
General Practice Dentistry
1518246453
Broadway Family Dental Llc
Dentistry
1790235315
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 Dental Center, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
20280
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8444706
Medicaid
New Jersey
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 Dental Center, Llc 15 Broadway, Passaic, New Jersey
Zip:
07055-5007
Phone Number:
973-777-1202
Fax Number:
973-777-0159
Patients can reach Broadway Dental Center, Llc at 15 Broadway, Passaic, New Jersey or can call to book an appointment on 973-777-1202. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.