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BROADWAY FAMILY AND COSMETIC DENTISTRY, PARTNERSHIP
NPI 1063715969
Dentist - General Practice in Council Bluffs, IA

Active since December 15, 2010
2612 W BROADWAY, COUNCIL BLUFFS, IA 51501(712) 323-3615(712) 325-6155 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadway Family And Cosmetic Dentistry, Partnership NPPES

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

BROADWAY FAMILY AND COSMETIC DENTISTRY, PARTNERSHIP (NPI 1063715969) is a healthcare organization registered as a general practice in Council Bluffs, Iowa and active in the NPI registry since December 2010. The organization lists Gary A Smith, Dentist, as its authorized official.

NPPES Registry Identity

NPI1063715969
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY FAMILY AND COSMETIC DENTISTRY, PARTNERSHIP
Location Address2612 W BROADWAYCouncil Bluffs, IA 51501-3510
Mailing Address2612 W BroadwayCouncil Bluffs, IA 51501-3510 · (712) 323-3615 · Fax (712) 325-6155
Phone(712) 323-3615
Fax(712) 325-6155
Organization SubpartNo
Authorized OfficialGary A SmithDentist · (712) 323-3615
Enumeration DateDecember 15, 2010
✔ NPI 1063715969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 6699
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.
2612 W BROADWAY, Council Bluffs, IA 51501
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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 5

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

BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.
Dentist (General Practice)
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-3615
DR. GARY ALFRED SMITH D.D.S.
Dentist (General Practice)
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-3615
DR. DUSTIN OTTO SVATOS DDS
Dentist
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-3615
CARY V JACKSON D.D.S.
Dentist (General Practice)
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-3615
DR. PAIGE WARREN DDS
Dentist
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 323-3615

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 Family And Cosmetic Dentistry, Partnership's NPI number?

The NPI number for Broadway Family And Cosmetic Dentistry, Partnership is 1063715969. It was assigned to this organization in the NPPES registry on December 15, 2010.

Where is Broadway Family And Cosmetic Dentistry, Partnership located?

Broadway Family And Cosmetic Dentistry, Partnership is located at 2612 W Broadway, Council Bluffs, IA 51501. The listed phone number is (712) 323-3615.

What is Broadway Family And Cosmetic Dentistry, Partnership'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 Broadway Family And Cosmetic Dentistry, Partnership was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.