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BROADWAY DENTAL CENTER
NPI 1619073061
Dentist in Montesano, WA

Active since September 15, 2006
208 E BROADWAY AVE, MONTESANO, WA 98563(360) 249-3151(360) 249-5129 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadway Dental Center NPPES

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

BROADWAY DENTAL CENTER (NPI 1619073061) is a healthcare organization registered as a dentist in Montesano, Washington and active in the NPI registry since September 2006. The organization lists Russell M Larsen, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1619073061
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLARSEN, DDS-BLANCHARD, DMD, PS
Location Address208 E BROADWAY AVEMontesano, WA 98563-3706
Mailing Address208 E Broadway AveMontesano, WA 98563-3706 · (360) 249-3151 · Fax (360) 249-5129
Phone(360) 249-3151
Fax(360) 249-5129
Organization SubpartNo
Authorized OfficialRussell M LarsenCo-owner · (360) 249-3151
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619073061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WA · DE00008166✔ Licensed in WA · DE00007407
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
208 E BROADWAY AVE, Montesano, WA 98563
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Other Names 1

Doing Business AsBroadway Dental Center

Other Identifiers 1

Medicaid5306808WA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

RUSSELL M LARSEN DDS
Dentist
208 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-3151
DR. LANCE GUNTER D.D.S.
Dentist
208 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 878-3654
GREG LEO BLANCHARD DMD
Dentist
208 E BROADWAY AVE
MONTESANO, WA 98563
Grays Harbor County (360) 249-3151

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 Larsen, Dds-Blanchard, Dmd, Ps's NPI number?

The NPI number for Larsen, Dds-Blanchard, Dmd, Ps is 1619073061. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Broadway Dental Center.

Where is Larsen, Dds-Blanchard, Dmd, Ps located?

Larsen, Dds-Blanchard, Dmd, Ps is located at 208 E Broadway Ave, Montesano, WA 98563. The listed phone number is (360) 249-3151.

What is Larsen, Dds-Blanchard, Dmd, Ps's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Larsen, Dds-Blanchard, Dmd, Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.