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BROAD SMILES LLC
NPI 1831766211
Dentist - Pediatric Dentistry in Salem, MA

Active since June 05, 2021
600 LORING AVE STE 8, SALEM, MA 01970(978) 910-0004 Get Directions Write a Review

NPPES record last updated: June 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broad Smiles Llc NPPES

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

BROAD SMILES LLC (NPI 1831766211) is a healthcare organization registered as a pediatric dentistry in Salem, Massachusetts and active in the NPI registry since June 2021. The organization lists Hubert J Park, President, as its authorized official.

NPPES Registry Identity

NPI1831766211
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBROAD SMILES LLC
Location Address600 LORING AVE STE 8Salem, MA 01970-4264
Mailing Address600 Loring Ave Ste 8Salem, MA 01970-4264 · (978) 910-0004
Phone(978) 910-0004
Organization SubpartNo
Authorized OfficialHubert J ParkPresident · (617) 895-6700
Enumeration DateJune 5, 2021
NPPES CertifiedJune 5, 2021
✔ NPI 1831766211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
600 LORING AVE STE 8, Salem, MA 01970
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Smiles LLC's NPI number?

The NPI number for Broad Smiles LLC is 1831766211. It was assigned to this organization in the NPPES registry on June 5, 2021.

Where is Broad Smiles LLC located?

Broad Smiles LLC is located at 600 Loring Ave Ste 8, Salem, MA 01970. The listed phone number is (978) 910-0004.

What is Broad Smiles LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Broad Smiles LLC was last updated on June 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.