Broadway Smiles is a renowned Dental office in Idaho Falls, Idaho. It is located at 505 1st St Ste B, Idaho Falls, ID and its contact number is 208-529-1903. The authorized person for Broadway Smiles is Nataly Penuelas
who is Office Manager of the place and their contact number is 208-680-0186. The primary license number for Broadway Smiles is D-4109 (Dental) in Idaho.
Broadway Smiles Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Broadway Smiles Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Broadway Smiles |
| Specialization: | Dentistry |
| Address: | 505 1st St Ste B, Idaho Falls,
Idaho, 83401-3929 |
| Phone: | 208-529-1903 |
| Fax: | 208-529-1925 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Nataly Penuelas |
| Position: | Office Manager |
| Contact Number: | 208-680-0186 |
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 Smiles Office are as mentioned below.
| NPI Number: | 1275999872 |
| NPI Enumeration Date: | 12 Jan, 2016 |
| NPI Last Update On: | 12 Jan, 2016 |
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 Smiles are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | D-4109 | Idaho | 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 Smiles
505 1st St Ste B,
Idaho Falls, Idaho |
| Zip: | 83401-3929 |
| Phone Number: | 208-529-1903 |
| Fax Number: | 208-529-1925 |
Patients can reach Broadway Smiles at
505 1st St Ste B, Idaho Falls, Idaho or can
call to book an appointment on 208-529-1903.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.