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BROADWAY SMILES PC
NPI 1194075341
Dentist - General Practice in Sulphur Springs, TX

Active since September 14, 2012
1707 S BROADWAY ST, SUITE 10, SULPHUR SPRINGS, TX 75482(703) 338-9736 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Smiles Pc NPPES

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

BROADWAY SMILES PC (NPI 1194075341) is a healthcare organization registered as a general practice in Sulphur Springs, Texas and active in the NPI registry since September 2012. The organization lists Praveena Seetharam Shetty, Owner, as its authorized official.

NPPES Registry Identity

NPI1194075341
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY SMILES PC
Location Address1707 S BROADWAY ST, SUITE 10Sulphur Springs, TX 75482-4960
Mailing Address1707 S Broadway St, Suite 10Sulphur Springs, TX 75482-4960 · (703) 338-9736
Phone(703) 338-9736
Organization SubpartNo
Authorized OfficialPraveena Seetharam ShettyOwner · (703) 338-9736
Enumeration DateSeptember 14, 2012
✔ NPI 1194075341 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 · 26239
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.
1707 S BROADWAY ST, Sulphur Springs, TX 75482
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 PC's NPI number?

The NPI number for Broadway Smiles PC is 1194075341. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Broadway Smiles PC located?

Broadway Smiles PC is located at 1707 S Broadway St Suite 10, Sulphur Springs, TX 75482. The listed phone number is (703) 338-9736.

What is Broadway Smiles PC'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 PC was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.