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ON BROADWAY DENTISTRY
NPI 1851857064
Dentist - General Practice in Mesa, AZ

Active since February 12, 2019
4435 E BROADWAY RD # 9, MESA, AZ 85206(480) 223-0255(480) 654-0705 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2020, Jan 10, 2020, Feb 12, 2019 (3 updates tracked since 2019).

About On Broadway Dentistry NPPES

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

ON BROADWAY DENTISTRY (NPI 1851857064) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since February 2019. The organization lists Bennett Mankin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851857064
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameON BROADWAY DENTISTRY
Location Address4435 E BROADWAY RD # 9Mesa, AZ 85206-2012
Mailing Address3658 E Morrison Ranch PkwyGilbert, AZ 85296-1816 · (480) 636-0170
Phone(480) 223-0255
Fax(480) 654-0705
Organization SubpartNo
Authorized OfficialBennett MankinCeo · (480) 636-0170
Enumeration DateFebruary 12, 2019
Last NPPES UpdateFebruary 7, 20203 updates tracked since enumeration
✔ NPI 1851857064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4435 E BROADWAY RD # 9, Mesa, AZ 85206
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

GENTLE TOOTH DOCTOR PLLC
Dentist (General Practice)
4435 E BROADWAY RD # 9
MESA, AZ 85206
Maricopa County (480) 397-0635

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 On Broadway Dentistry's NPI number?

The NPI number for On Broadway Dentistry is 1851857064. It was assigned to this organization in the NPPES registry on February 12, 2019.

Where is On Broadway Dentistry located?

On Broadway Dentistry is located at 4435 E Broadway Rd # 9, Mesa, AZ 85206. The listed phone number is (480) 223-0255.

What is On Broadway Dentistry'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 On Broadway Dentistry was last updated on February 7, 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.