MATTHEW D GRACE DDS, PLLC
NPI 1104397868
Clinic/Center - Dental in Tyler, TX

Q: What is Matthew D Grace Dds, PLLC's NPI number?

The NPI number for Matthew D Grace Dds, PLLC is 1104397868. It was assigned to this organization in the NPPES registry on December 6, 2018. The provider is doing business as Broadway Dental.

Q: What is Matthew D Grace Dds, PLLC's specialty?

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

Active since December 06, 2018

5621 S BROADWAY AVE, TYLER, TX 75703(903) 630-6313 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew D Grace Dds, Pllc NPPES

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

MATTHEW D GRACE DDS, PLLC (NPI 1104397868), doing business as Broadway Dental, is a healthcare organization registered as a dental in Tyler, Texas and active in the NPI registry since December 2018. The organization lists Matthew D Grace, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104397868

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMATTHEW D GRACE DDS, PLLC

Location Address5621 S BROADWAY AVETyler, TX 75703-4348

Mailing Address353 Vzcr 1519Grand Saline, TX 75140-5744

Phone(903) 630-6313

Organization SubpartNo

Authorized OfficialMatthew D GraceDentist · (903) 316-9419

Enumeration DateDecember 6, 2018

✔ NPI 1104397868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

5621 S BROADWAY AVE, Tyler, TX 75703

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Other Names 1

Doing Business AsBroadway Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

BROADWAY DENTAL, P.A.

Dentist (General Practice)

5621 S BROADWAY AVE
TYLER, TX 75703

Smith County (951) 642-0948

DR. MOHAMMAD ARIF DDS

Dentist

5621 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 630-6313

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 Matthew D Grace Dds, PLLC's NPI number?

The NPI number for Matthew D Grace Dds, PLLC is 1104397868. It was assigned to this organization in the NPPES registry on December 6, 2018. The provider is doing business as Broadway Dental.

Where is Matthew D Grace Dds, PLLC located?

Matthew D Grace Dds, PLLC is located at 5621 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 630-6313.

What is Matthew D Grace Dds, PLLC's specialty?

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

What insurance does Matthew D Grace Dds, PLLC accept?

Health plans from UnitedHealthcare list Matthew D Grace Dds, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew D Grace Dds, PLLC was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.