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BROADWAY DENTAL, P.A.
NPI 1740733104
Dentist - General Practice in Tyler, TX

Active since August 02, 2016
5621 S BROADWAY AVE, TYLER, TX 75703(951) 642-0948 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway Dental, P.a. NPPES

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

BROADWAY DENTAL, P.A. (NPI 1740733104) is a healthcare organization registered as a general practice in Tyler, Texas and active in the NPI registry since August 2016. The organization lists Mohammad Arif, President, as its authorized official.

NPPES Registry Identity

NPI1740733104
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY DENTAL, P.A.
Location Address5621 S BROADWAY AVETyler, TX 75703-4348
Mailing Address5621 S Broadway AveTyler, TX 75703-4348
Phone(951) 642-0948
Organization SubpartNo
Authorized OfficialMohammad ArifPresident · (951) 642-0948
Enumeration DateAugust 2, 2016
✔ NPI 1740733104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 29244
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.
5621 S BROADWAY AVE, Tyler, TX 75703
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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.

MATTHEW D GRACE DDS, PLLC
Clinic/Center (Dental)
5621 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 630-6313
DR. MOHAMMAD ARIF DDS
Dentist
5621 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 630-6313

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, P.A.'s NPI number?

The NPI number for Broadway Dental, P.A. is 1740733104. It was assigned to this organization in the NPPES registry on August 2, 2016.

Where is Broadway Dental, P.A. located?

Broadway Dental, P.A. is located at 5621 S Broadway Ave, Tyler, TX 75703. The listed phone number is (951) 642-0948.

What is Broadway Dental, P.A.'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, P.A. was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.