BROADWAY SMILES DENTAL, LLC
NPI 1144801622
Dentist - General Practice in Oak Grove, MO

Q: What is Broadway Smiles Dental, LLC's NPI number?

The NPI number for Broadway Smiles Dental, LLC is 1144801622. It was assigned to this organization in the NPPES registry on April 16, 2021.

Q: What is Broadway Smiles Dental, LLC's specialty?

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

Active since April 16, 2021

2016 S BROADWAY # 8439, OAK GROVE, MO 64075(816) 690-7757 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Broadway Smiles Dental, Llc NPPES

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

BROADWAY SMILES DENTAL, LLC (NPI 1144801622) is a healthcare organization registered as a general practice in Oak Grove, Missouri and active in the NPI registry since April 2021. The organization lists Staci Nicole Osgood, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1144801622

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBROADWAY SMILES DENTAL, LLC

Location Address2016 S BROADWAY # 8439Oak Grove, MO 64075-8439

Mailing Address6724 E 134th StGrandview, MO 64030-3236 · (913) 558-3919

Phone(816) 690-7757

Organization SubpartNo

Authorized OfficialStaci Nicole OsgoodGeneral Dentist · (913) 558-3919

Enumeration DateApril 16, 2021

NPPES CertifiedApril 16, 2021

✔ NPI 1144801622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

2016 S BROADWAY # 8439, Oak Grove, MO 64075

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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

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

STACI NICOLE OSGOOD DDS

Dentist

2016 S BROADWAY # 8439
OAK GROVE, MO 64075

Jackson County (816) 690-7757

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 Smiles Dental, LLC's NPI number?

The NPI number for Broadway Smiles Dental, LLC is 1144801622. It was assigned to this organization in the NPPES registry on April 16, 2021.

Where is Broadway Smiles Dental, LLC located?

Broadway Smiles Dental, LLC is located at 2016 S Broadway # 8439, Oak Grove, MO 64075. The listed phone number is (816) 690-7757.

What is Broadway Smiles Dental, LLC'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 Smiles Dental, LLC was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.