Broadway Dental Psc is a Dental Clinic in Louisville, Kentucky. It is located at 1813 West Broadway, Louisville, KY and its contact number is 502-772-7531. The authorized person for Broadway Dental Psc is Dr. Rodney Brent Fultz
who is Sec Treasurer of the clinic and their contact number is 502-772-7531. Broadway Dental Psc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Broadway Dental Psc 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 Psc
Specialization:
Dentistry
Clinic Address:
1813 West Broadway, Louisville, Kentucky, 40203
Phone:
502-772-7531
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:
Dr. Rodney Brent Fultz
Position:
Sec Treasurer
Contact Number:
502-772-7531
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 Psc clinic are as mentioned below.
NPI Number:
1639222466
NPI Enumeration Date:
18 Jan, 2007
NPI Last Update On:
18 Dec, 2007
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 Psc are as mentioned below.
Specialization
License Number
State
Status
Dentist
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
61941878
Medicaid
Kentucky
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 Psc 1813 West Broadway, Louisville, Kentucky
Zip:
40203
Phone Number:
502-772-7531
Patients can reach Broadway Dental Psc at 1813 West Broadway, Louisville, Kentucky or can call to book an appointment on 502-772-7531. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.