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SIGNATURE SMILES
NPI 1275999872
Clinic/Center - Dental in Idaho Falls, ID

Active since January 12, 2016
505 1ST ST STE B, IDAHO FALLS, ID 83401(208) 529-1903(208) 529-1925 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Signature Smiles NPPES

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

SIGNATURE SMILES (NPI 1275999872) is a healthcare organization registered as a dental in Idaho Falls, Idaho and active in the NPI registry since January 2016. The organization lists Nataly Penuelas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275999872
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROADWAY SMILES
Location Address505 1ST ST STE BIdaho Falls, ID 83401-3929
Mailing Address505 1st St Ste BIdaho Falls, ID 83401-3929 · (208) 529-1903 · Fax (208) 529-1925
Phone(208) 529-1903
Fax(208) 529-1925
Organization SubpartNo
Authorized OfficialNataly PenuelasOffice Manager · (208) 680-0186
Enumeration DateJanuary 12, 2016
✔ NPI 1275999872 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 ID · D-4109
505 1ST ST STE B, Idaho Falls, ID 83401
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Other Names 1

Doing Business AsSignature Smiles

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's NPI number?

The NPI number for Broadway Smiles is 1275999872. It was assigned to this organization in the NPPES registry on January 12, 2016. The provider is doing business as Signature Smiles.

Where is Broadway Smiles located?

Broadway Smiles is located at 505 1st St Ste B, Idaho Falls, ID 83401. The listed phone number is (208) 529-1903.

What is Broadway Smiles's specialty?

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

When was this NPI record last updated?

The NPPES record for Broadway Smiles was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.