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CHARLES E BROADWAY, DMD, PA
NPI 1740367879
Dentist - General Practice in Eustis, FL

Active since November 01, 2006
1141 S EUSTIS ST, EUSTIS, FL 32726(352) 589-2099(352) 589-6046 Get Directions Write a Review

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

About Charles E Broadway, Dmd, Pa NPPES

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

CHARLES E BROADWAY, DMD, PA (NPI 1740367879) is a healthcare organization registered as a general practice in Eustis, Florida and active in the NPI registry since November 2006. The organization lists Charles Estes Broadway, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1740367879
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHARLES E BROADWAY, DMD, PA
Location Address1141 S EUSTIS STEustis, FL 32726-5558
Mailing Address1141 S Eustis StEustis, FL 32726-5558 · (352) 589-2099 · Fax (352) 589-6046
Phone(352) 589-2099
Fax(352) 589-6046
Organization SubpartNo
Authorized OfficialCharles Estes BroadwayDentist/owner · (352) 589-2099
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740367879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN8829
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.
1141 S EUSTIS ST, Eustis, FL 32726
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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.

DR. MATTHEW JOSEPH JACKSON D.D.S.
Dentist (General Practice)
1141 S EUSTIS ST
EUSTIS, FL 32726
Lake County (352) 589-2099
DR. CHARLES ESTES BROADWAY D.M.D.
Dentist (General Practice)
1141 S EUSTIS ST
EUSTIS, FL 32726
Lake County (352) 589-2099

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 Charles E Broadway, Dmd, PA's NPI number?

The NPI number for Charles E Broadway, Dmd, PA is 1740367879. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Charles E Broadway, Dmd, PA located?

Charles E Broadway, Dmd, PA is located at 1141 S Eustis St, Eustis, FL 32726. The listed phone number is (352) 589-2099.

What is Charles E Broadway, Dmd, PA'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 Charles E Broadway, Dmd, PA 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.