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BROAD SMILE DENTISTRY
NPI 1770042723
Clinic/Center - Dental in Henrico, VA

Active since March 19, 2019
4017 LAUDERDALE DR, HENRICO, VA 23233(804) 913-1710 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broad Smile Dentistry NPPES

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

BROAD SMILE DENTISTRY (NPI 1770042723) is a healthcare organization registered as a dental in Henrico, Virginia and active in the NPI registry since March 2019. The organization lists Myungsuk Koh, Officer, as its authorized official.

NPPES Registry Identity

NPI1770042723
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROAD SMILE DENTISTRY
Location Address4017 LAUDERDALE DRHenrico, VA 23233-1082
Mailing Address4017 Lauderdale DrHenrico, VA 23233-1082 · (804) 913-1710
Phone(804) 913-1710
Organization SubpartNo
Authorized OfficialMyungsuk KohOfficer · (804) 913-1710
Enumeration DateMarch 19, 2019
✔ NPI 1770042723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4017 LAUDERDALE DR, Henrico, VA 23233
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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 Broad Smile Dentistry's NPI number?

The NPI number for Broad Smile Dentistry is 1770042723. It was assigned to this organization in the NPPES registry on March 19, 2019.

Where is Broad Smile Dentistry located?

Broad Smile Dentistry is located at 4017 Lauderdale Dr, Henrico, VA 23233. The listed phone number is (804) 913-1710.

What is Broad Smile Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Broad Smile Dentistry was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.