Broadway Mall Dental is a Dental Clinic in Hicksville, New York. It is located at 200 Broadway Mall, Hicksville, NY and its contact number is 516-933-3444. The authorized person for Broadway Mall Dental is Igor Levin
who is Owner of the clinic and their contact number is 516-933-3444.
Broadway Mall Dental 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 Mall Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Broadway Mall Dental |
| Specialization: | Dentistry |
| Clinic Address: | 200 Broadway Mall, Hicksville,
New York, 11801 |
| Phone: | 516-933-3444 |
| Fax: | 516-933-3445 |
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: | Igor Levin |
| Position: | Owner |
| Contact Number: | 516-933-3444 |
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 Mall Dental clinic are as mentioned below.
| NPI Number: | 1225183551 |
| NPI Enumeration Date: | 25 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
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 Mall Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | New York | 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 |
| 02757968 | Medicaid | New York | |
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 Mall Dental
200 Broadway Mall,
Hicksville, New York |
| Zip: | 11801 |
| Phone Number: | 516-933-3444 |
| Fax Number: | 516-933-3445 |
Patients can reach Broadway Mall Dental at
200 Broadway Mall, Hicksville, New York or can
call to book an appointment on 516-933-3444.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.