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BROADWAY SMILE BOUTIQUE
NPI 1063208502
Clinic/Center - Dental in Glendale, CA

Active since April 18, 2025
1100 E BROADWAY # 302, GLENDALE, CA 91205(818) 900-1100 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Broadway Smile Boutique NPPES

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

BROADWAY SMILE BOUTIQUE (NPI 1063208502) is a healthcare organization registered as a dental in Glendale, California and active in the NPI registry since April 2025. The organization lists David Karo Shirinian, Dentist, as its authorized official.

NPPES Registry Identity

NPI1063208502
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROADWAY SMILE BOUTIQUE
Location Address1100 E BROADWAY # 302Glendale, CA 91205-1384
Mailing Address3331 Castleman LnBurbank, CA 91504-1630 · (818) 454-6382
Phone(818) 900-1100
Organization SubpartNo
Authorized OfficialDavid Karo ShirinianDentist · (818) 454-6382
Enumeration DateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1063208502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1100 E BROADWAY # 302, Glendale, CA 91205
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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 Smile Boutique's NPI number?

The NPI number for Broadway Smile Boutique is 1063208502. It was assigned to this organization in the NPPES registry on April 18, 2025.

Where is Broadway Smile Boutique located?

Broadway Smile Boutique is located at 1100 E Broadway # 302, Glendale, CA 91205. The listed phone number is (818) 900-1100.

What is Broadway Smile Boutique'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 Smile Boutique was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.