ISMILE DENTAL AT BROADWAY NPI 1053191437

NPI Information

  • NPI: 1053191437
  • Provider Name: ISMILE DENTAL AT BROADWAY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4449 BROADWAY BLVD
    GARLAND, TX
    ZIP 75043
  • Phone: (972) 303-0105

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NPI Details

ISMILE DENTAL AT BROADWAY is a general practice dentist in Garland, TX. The provider is 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. ISMILE DENTAL AT BROADWAY NPI is 1053191437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4449 BROADWAY BLVD
GARLAND, TX
ZIP 75043-435
Phone: (972) 303-0105
Fax: (972) 303-0106

The provider's authorized official is Michelle Nguyen .
The authorized official title is Office Manager and has the following contact phone number (214) 790-1012.

The enumeration date for this NPI number is 10/3/2023 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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