| Broadway Dental Llc | |
|
1415 Broadway Denison IA 51442-2052 | |
| (712) 263-5615 | |
| (712) 263-8124 |
| Full Name | Broadway Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1415 Broadway, Denison, Iowa |
| Authorized Official Name and Position | Ryan E Bygness (OWNER) |
| Authorized Official Contact | 7122635615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Llc 1415 Broadway Denison IA 51442-2052 Ph: (712) 263-5615 | Broadway Dental Llc 1415 Broadway Denison IA 51442-2052 Ph: (712) 263-5615 |
| NPI Number | 1790816817 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790816817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07912 (Iowa) | Primary |
32 & You, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Broadway, Denison, IA 51442 Phone: 712-263-3252 Fax: 712-794-4142 |