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BROADWAY FAMILY DENTAL CENTER
NPI 1922378900
Dentist - General Practice in Coal City, IL

Active since January 06, 2012
595 N BROADWAY ST, COAL CITY, IL 60416(815) 634-8009(815) 634-2008 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadway Family Dental Center NPPES

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

BROADWAY FAMILY DENTAL CENTER (NPI 1922378900) is a healthcare organization registered as a general practice in Coal City, Illinois and active in the NPI registry since January 2012. The organization lists Peter J Pullara, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1922378900
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY FAMILY DENTAL CENTER
Location Address595 N BROADWAY STCoal City, IL 60416-1046
Mailing Address595 N Broadway StCoal City, IL 60416-1046 · (815) 634-8009 · Fax (815) 634-2008
Phone(815) 634-8009
Fax(815) 634-2008
Organization SubpartNo
Authorized OfficialPeter J PullaraDentist/owner · (815) 634-8009
Enumeration DateJanuary 6, 2012
✔ NPI 1922378900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019021493
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.
595 N BROADWAY ST, Coal City, IL 60416
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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.

MS. KRISTIN MARIE VAUGHT DMD
Dentist
595 N BROADWAY ST
COAL CITY, IL 60416
Grundy County (815) 634-8009
PULLARA FAMILY DENTAL CENTER
Dentist (General Practice)
595 N BROADWAY ST
COAL CITY, IL 60416
Grundy County (815) 634-8009

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 Family Dental Center's NPI number?

The NPI number for Broadway Family Dental Center is 1922378900. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Broadway Family Dental Center located?

Broadway Family Dental Center is located at 595 N Broadway St, Coal City, IL 60416. The listed phone number is (815) 634-8009.

What is Broadway Family Dental Center'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 Family Dental Center was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.