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BROAD PARK FAMILY DENTISTRY
NPI 1154440089
Dentist - General Practice in Mansfield, TX

Active since March 29, 2007
1750 E BROAD ST, MANSFIELD, TX 76063(817) 473-6857 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broad Park Family Dentistry NPPES

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

BROAD PARK FAMILY DENTISTRY (NPI 1154440089) is a healthcare organization registered as a general practice in Mansfield, Texas and active in the NPI registry since March 2007. The organization lists Dax Michael Sinn, Owner, as its authorized official.

NPPES Registry Identity

NPI1154440089
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROAD PARK FAMILY DENTISTRY
Location Address1750 E BROAD STMansfield, TX 76063-3400
Mailing Address1750 E Broad StMansfield, TX 76063-3400 · (817) 473-6857
Phone(817) 473-6857
Organization SubpartNo
Authorized OfficialDax Michael SinnOwner · (817) 473-6857
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154440089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · D21075
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.
1750 E BROAD ST, Mansfield, TX 76063
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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 4

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

DR. SHANNA HOWZE DDS
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857
DR. JEREMY I RUDD D.M.D.
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857
BROAD PARK DENTAL PA
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857
ALYSA BROOKE SADKIN DMD
Dentist (General Practice)
1750 E BROAD ST
MANSFIELD, TX 76063
Tarrant County (817) 473-6857

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 Broad Park Family Dentistry's NPI number?

The NPI number for Broad Park Family Dentistry is 1154440089. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Broad Park Family Dentistry located?

Broad Park Family Dentistry is located at 1750 E Broad St, Mansfield, TX 76063. The listed phone number is (817) 473-6857.

What is Broad Park Family Dentistry'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 Broad Park Family Dentistry was last updated on August 22, 2020. 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.