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Contact Information

BROADWAY DENTAL ASSOCIATES, LLC
815 W BROAD ST
SUITE A
FALLS CHURCH, VA22046-3107
 Phone: 703-533-8668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for BROADWAY DENTAL ASSOCIATES, LLC

NPI Number 1376889972
LBN Legal business name BROADWAY DENTAL ASSOCIATES, LLC
Authorized official MAQSOOD CHAUDHRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2012
Last updated 12/31/2012 - About 13 years ago
Identifiers n/a
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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