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BROADWAY DENTIST LLC
NPI 1235381302
Clinic/Center - Dental in Everett, MA

Active since October 21, 2008
609 BROADWAY, EVERETT, MA 02149(617) 389-3636 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadway Dentist Llc NPPES

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

BROADWAY DENTIST LLC (NPI 1235381302) is a healthcare organization registered as a dental in Everett, Massachusetts and active in the NPI registry since October 2008. The organization lists Peter Itkes, Manager, as its authorized official.

NPPES Registry Identity

NPI1235381302
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROADWAY DENTIST LLC
Location Address609 BROADWAYEverett, MA 02149-3712
Mailing Address609 BroadwayEverett, MA 02149-3712 · (617) 389-3636
Phone(617) 389-3636
Organization SubpartNo
Authorized OfficialPeter ItkesManager · (617) 694-1614
Enumeration DateOctober 21, 2008
✔ NPI 1235381302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MA · 21366
609 BROADWAY, Everett, MA 02149
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Accepted Insurance

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

Other Providers at the Same Location NPPES

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

DR. DI LIU D.D.S., M.S.
Dentist (General Practice)
609 BROADWAY
EVERETT, MA 02149
Middlesex County (617) 389-3636

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 Dentist LLC's NPI number?

The NPI number for Broadway Dentist LLC is 1235381302. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Broadway Dentist LLC located?

Broadway Dentist LLC is located at 609 Broadway, Everett, MA 02149. The listed phone number is (617) 389-3636.

What is Broadway Dentist LLC's specialty?

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

What insurance does Broadway Dentist LLC accept?

Health plans from UnitedHealthcare list Broadway Dentist LLC 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 Broadway Dentist LLC was last updated on October 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.