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BROADWAY DENTAL PC
NPI 1063134708
Clinic/Center - Dental in Bangor, ME

Active since September 19, 2022
743 BROADWAY, BANGOR, ME 04401(207) 945-5300 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway Dental Pc NPPES

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

BROADWAY DENTAL PC (NPI 1063134708) is a healthcare organization registered as a dental in Bangor, Maine and active in the NPI registry since September 2022. The organization lists Rebekah K Blanchette, Owner, as its authorized official.

NPPES Registry Identity

NPI1063134708
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROADWAY DENTAL PC
Location Address743 BROADWAYBangor, ME 04401-3225
Mailing Address743 BroadwayBangor, ME 04401-3225 · (207) 945-5300
Phone(207) 945-5300
Organization SubpartNo
Authorized OfficialRebekah K BlanchetteOwner · (207) 945-5300
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1063134708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
743 BROADWAY, Bangor, ME 04401
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Other Identifiers 3

Other1871684282ME · 1-ind
Other1679142988ME · 1-ind
Other1740591882ME · 1-ind

Other Providers at the Same Location NPPES 3

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

JOHN E. TOZER, DMD, PA
Dentist (General Practice)
743 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 945-5300
DR. BRODY THOMAS VALLEY DMD
Dentist
743 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 945-5300
JOHN EDWARD TOZER DMD
Dentist (General Practice)
743 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 945-5300

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 Broadway Dental PC's NPI number?

The NPI number for Broadway Dental PC is 1063134708. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is Broadway Dental PC located?

Broadway Dental PC is located at 743 Broadway, Bangor, ME 04401. The listed phone number is (207) 945-5300.

What is Broadway Dental PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Broadway Dental PC was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.