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 | Endodontics | 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.