| Broadway Dentist LLC | |
|
609 Broadway Everett MA 02149-3712 | |
| (617) 389-3636 | |
| Not Available |
| Full Name | Broadway Dentist LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 609 Broadway, Everett, Massachusetts |
| Authorized Official Name and Position | Peter Itkes (MANAGER) |
| Authorized Official Contact | 6176941614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dentist LLC 609 Broadway Everett MA 02149-3712 Ph: (617) 389-3636 | Broadway Dentist LLC 609 Broadway Everett MA 02149-3712 Ph: (617) 389-3636 |
| NPI Number | 1235381302 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235381302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21366 (Massachusetts) | Primary |
Phuongdao DMD LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Broadway Fl 1, Everett, MA 02149 Phone: 617-389-8317 |
Areeva Dental LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 563 Broadway Ste 21, Everett, MA 02149 Phone: 617-389-4646 |
Global Dental P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Broadway, Everett, MA 02149 Phone: 215-301-8655 |
RS Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 373 Broadway, Everett, MA 02149 Phone: 646-287-6946 |
Everett Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Main St, Everett, MA 02149 Phone: 617-389-3040 Fax: 617-389-3527 |
Great Smiles Dental Management Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Main St, Everett, MA 02149 Phone: 617-207-0705 |