Organization · Type 2 NPI

Broadway Smiles

Dental Clinic/Center · Idaho Falls, ID

NPI number 1275999872 Active

Practice location

505 1st St Ste B
Idaho Falls, ID 83401-3929

Call (208) 529-1903 Map

Fax (208) 529-1925

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD-4109 (ID)

Dental Clinic/Center: Definition to come...

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About NPI 1275999872

Broadway Smiles's National Provider Identifier is 1275999872, issued on Jan 12, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 12, 2016.