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BROADWAY DENTAL WELLNESS PLLC
NPI 1477245371
Dentist - General Practice in Hastings, MI

Active since May 22, 2023
1510 N BROADWAY ST, HASTINGS, MI 49058(269) 945-3358 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Dental Wellness Pllc NPPES

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

BROADWAY DENTAL WELLNESS PLLC (NPI 1477245371), doing business as Broadway Dental, is a healthcare organization registered as a general practice in Hastings, Michigan and active in the NPI registry since May 2023. The organization lists Andres Setaputri, Owner, as its authorized official.

NPPES Registry Identity

NPI1477245371
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY DENTAL WELLNESS PLLC
Location Address1510 N BROADWAY STHastings, MI 49058-3024
Mailing Address1510 N Broadway StHastings, MI 49058-3024 · (269) 945-3358
Phone(269) 945-3358
Organization SubpartNo
Authorized OfficialAndres SetaputriOwner · (734) 250-1473
Enumeration DateMay 22, 2023
NPPES CertifiedMay 21, 2023
✔ NPI 1477245371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1510 N BROADWAY ST, Hastings, MI 49058
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Other Names 1

Doing Business AsBroadway Dental

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 5

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

ANGELA VREDENBURG DDS
Dentist (General Practice)
1510 N BROADWAY ST
HASTINGS, MI 49058
Barry County (269) 945-3358
SCOTT BLOOM OD PLC
Optometrist
1510 N BROADWAY ST
HASTINGS, MI 49058
Barry County (269) 945-2192
SCOTT BLOOM
Optometrist
1510 N BROADWAY ST
HASTINGS, MI 49058
Barry County (269) 945-2192
JAMES C. PEURACH DDS, P.C.
Dentist (General Practice)
1510 N BROADWAY ST
HASTINGS, MI 49058
Barry County (269) 945-3358
DR. JAMES CARL PEURACH DDS
Dentist (General Practice)
1510 N BROADWAY ST
HASTINGS, MI 49058
Barry County (269) 945-3358

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 Dental Wellness PLLC's NPI number?

The NPI number for Broadway Dental Wellness PLLC is 1477245371. It was assigned to this organization in the NPPES registry on May 22, 2023. The provider is doing business as Broadway Dental.

Where is Broadway Dental Wellness PLLC located?

Broadway Dental Wellness PLLC is located at 1510 N Broadway St, Hastings, MI 49058. The listed phone number is (269) 945-3358.

What is Broadway Dental Wellness PLLC'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 Dental Wellness PLLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.