1. Home
  2. Directory
  3. Massachusetts
  4. Revere
  5. Dentist
  6. NPI Profile

BROADWAY DENTAL
NPI 1053618140
Dentist - General Practice in Revere, MA

Active since February 25, 2011
144 BROADWAY # 2, REVERE, MA 02151(781) 284-2275(781) 426-7614 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadway Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY DENTAL (NPI 1053618140) is a healthcare organization registered as a general practice in Revere, Massachusetts and active in the NPI registry since February 2011. The organization lists Bella Ostrovsky, Manager, as its authorized official.

NPPES Registry Identity

NPI1053618140
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE DENTAL, PC
Location Address144 BROADWAY # 2Revere, MA 02151-5349
Mailing Address144 Broadway # 2Revere, MA 02151-5349 · (781) 284-2275 · Fax (781) 426-7614
Phone(781) 284-2275
Fax(781) 426-7614
Organization SubpartNo
Authorized OfficialBella OstrovskyManager · (781) 284-2275
Enumeration DateFebruary 25, 2011
Last NPPES UpdateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1053618140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN19044
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
144 BROADWAY # 2, Revere, MA 02151
Open in Google Maps ↗

Other Names 1

Doing Business AsBroadway Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMILE DENTAL REVERE LLC
Dentist
144 BROADWAY # 2
REVERE, MA 02151
Suffolk County (781) 284-2275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Dental, PC's NPI number?

The NPI number for Smile Dental, PC is 1053618140. It was assigned to this organization in the NPPES registry on February 25, 2011. The provider is doing business as Broadway Dental.

Where is Smile Dental, PC located?

Smile Dental, PC is located at 144 Broadway # 2, Revere, MA 02151. The listed phone number is (781) 284-2275.

What is Smile Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Smile Dental, PC was last updated on October 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.