BROADWAY FAMILY AND COSMETIC DENTISTRY PSC
NPI 1366733644
Dentist - General Practice in Lexington, KY

Active since April 21, 2011
556 N BROADWAY, LEXINGTON, KY 40508(859) 253-3242(859) 253-0025 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Family And Cosmetic Dentistry Psc NPPES

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

BROADWAY FAMILY AND COSMETIC DENTISTRY PSC (NPI 1366733644) is a healthcare organization registered as a general practice in Lexington, Kentucky and active in the NPI registry since April 2011. The organization lists Aprille Rasheda Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1366733644
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY FAMILY AND COSMETIC DENTISTRY PSC
Location Address556 N BROADWAYLexington, KY 40508-1761
Mailing Address556 N BroadwayLexington, KY 40508-1761 · (859) 253-3242 · Fax (859) 253-0025
Fax(859) 253-0025
Organization SubpartNo
Authorized OfficialAprille Rasheda NelsonOwner · (859) 253-3242
Enumeration DateApril 21, 2011
NPI 1366733644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 8731
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.
556 N BROADWAY, Lexington, KY 40508

Other Identifiers 1

Medicaid7100149080KY

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 2

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

Dentist (General Practice)
556 N BROADWAY
LEXINGTON, KY 40508
Dentist (General Practice)
556 N BROADWAY
LEXINGTON, KY 40508

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 Family And Cosmetic Dentistry Psc's NPI number?

The NPI number for Broadway Family And Cosmetic Dentistry Psc is 1366733644. It was assigned to this organization in the NPPES registry on April 21, 2011.

Where is Broadway Family And Cosmetic Dentistry Psc located?

Broadway Family And Cosmetic Dentistry Psc is located at 556 N Broadway, Lexington, KY 40508. The listed phone number is (859) 253-3242.

What is Broadway Family And Cosmetic Dentistry Psc'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 Family And Cosmetic Dentistry Psc was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.