Broad Smiles LLC
Pediatric Dentistry · Salem, MA
Practice location
600 Loring Ave Ste 8Salem, MA 01970-4264
- Phone
- (978) 910-0004
NPI record
- NPI
- 1831766211
- Entity type
- Organization (Type 2)
- Enumeration date
- June 5, 2021
- Last updated
- June 5, 2021
- Certified
- June 5, 2021
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
— | — |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
— | — |
Authorized official
- Name
- Dr. Hubert J Park, DMD, MPH
- Title
- President
- Phone
- (617) 895-6700
About Broad Smiles LLC
Broad Smiles LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 600 Loring Ave Ste 8, Salem, MA 01970-4264. The NPI number 1831766211 was assigned on June 5, 2021 and the record was last updated on June 5, 2021.
The authorized official for this organization is Dr. Hubert J Park, DMD, MPH, President.
Frequently asked questions
What is the NPI number of Broad Smiles LLC?
The NPI number is 1831766211.
What is the phone number of Broad Smiles LLC?
The phone number listed for the practice location is (978) 910-0004.
Where is Broad Smiles LLC located?
600 Loring Ave Ste 8, Salem, MA 01970-4264.
What is the taxonomy code for Broad Smiles LLC?
The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatric Dentistry providers in Salem
- Jason M. Gould, D.M.D.116 Highland Ave
- Stuart S Gould DMD116 Highland Ave
- Stuart S. Gould, DMD116 Highland Ave
- Kyle Matthew Edmonds, DDS600 Loring Hills Ave
- Salem Pediatric Dental & Orthodontic Associates116 Highland Ave