BROADWAY DENTAL, LLC
NPI 1497258354
Dentist - General Practice in Poteau, OK

Active since March 16, 2018
2104 N BROADWAY ST, POTEAU, OK 74953(918) 647-7080 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadway Dental, Llc NPPES

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

BROADWAY DENTAL, LLC (NPI 1497258354) is a healthcare organization registered as a general practice in Poteau, Oklahoma and active in the NPI registry since March 2018. The organization lists Ayan Lawson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1497258354
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY DENTAL, LLC
Location Address2104 N BROADWAY STPoteau, OK 74953-2501
Mailing Address114 W Main StWilburton, OK 74578-4044 · (918) 465-3535 · Fax (918) 465-3535
Organization SubpartNo
Authorized OfficialAyan LawsonDentist · (918) 448-6083
Enumeration DateMarch 16, 2018
NPI 1497258354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 5809
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.

2104 N BROADWAY ST, Poteau, OK 74953

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 16

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

Physical Therapy Assistant
2104 N BROADWAY ST, SUITE B
POTEAU, OK 74953
Physical Therapy Assistant
2104 N BROADWAY ST, SUITE B
POTEAU, OK 74953
Dentist (General Practice)
2104 N BROADWAY ST
POTEAU, OK 74953
Counselor (Professional)
2104 N BROADWAY ST, SUITE A
POTEAU, OK 74953
Nurse Practitioner (Family)
2104 N BROADWAY ST, UNIT A
POTEAU, OK 74953
Physical Therapy Assistant
2104 N BROADWAY ST, SUITE B
POTEAU, OK 74953
Physical Therapist
2104 N BROADWAY ST, SUITEB
POTEAU, OK 74953
Physical Therapy Assistant
2104 N BROADWAY ST, SUITE B
POTEAU, OK 74953

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, LLC's NPI number?

The NPI number for Broadway Dental, LLC is 1497258354. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Broadway Dental, LLC located?

Broadway Dental, LLC is located at 2104 N Broadway St, Poteau, OK 74953. The listed phone number is (918) 647-7080.

What is Broadway Dental, LLC'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, LLC was last updated on March 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.