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Contact Information

BROADWAY FAMILY DENTAL CARE LLC
508 E BROADWAY
MILTON-FREEWATER, OR97862
 Phone: 541-938-3363
 Fax: 541-938-3912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BROADWAY FAMILY DENTAL CARE LLC

NPI # 1215001052
LBN Legal business name BROADWAY FAMILY DENTAL CARE LLC
Authorized official NORMAN SAAGER - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 05/16/2012 - About 14 years ago
Identifiers
OR License # D4973
OR License # D8170
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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