NORTH BROADWAY DENTAL LTD


Address: 5852 N Broadway St., Ste. 1, Chicago, IL 60660
Phone: 7738782970

NORTH BROADWAY DENTAL LTD (NPI# 1275702854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275702854
Entity Type Organization
Organization Name NORTH BROADWAY DENTAL LTD
Practice Address 5852 N Broadway St.
Ste. 1
Chicago
IL 60660
Practice Telephone 7738782970
Practice Fax Number 7738788597
Mailing Telephone 7738782970
Mailing Fax Number 7738788597
Enumeration Date 2008-02-27
Last Update Date 2014-09-19
Authorized Official Name JOANNA TRAN (OFFICE MANAGER)
Authorized Official Telephone 7738782970
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 019025069 IL Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 5852 N BROADWAY ST.
STE. 1
City CHICAGO
State IL
Zip Code 60660

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225672280 Alexis Shelton Behavior Technician 6317 N Broadway, Chicago, IL 60660 2019-11-03
1912470105 Pipeline - Lakefront Medical Associates, LLC Family Medicine 6201 North Broadway, Chicago, IL 60660 2019-01-10
1417492224 Aynur Fataliyeva Non-emergency Medical Transport (VAN) 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 2017-01-03
1285187591 Bryan Moles Developmental Therapist 6157 N Kenmore, Apt #4s, Chicago, IL 60660 2016-08-03
1144609181 Ebm Consulting LLC Anesthesiology 5600 N Sheridan Road, #115, Chicago, IL 60660 2015-05-22
1295134112 Brent E Agran, Dds, LLC Dentist 5820 N. Clark St., 1s, Chicago, IL 60660 2014-08-15
1538573258 Emily Eaton Student in an Organized Health Care Education/Training Program 5643 N. Magnolia Ave, Chicago, IL 60660 2014-06-20
1538572664 Rozina Altaf Virani Nurse Practitioner 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 2014-06-05
1548673866 Emily Mckernan Social Worker 5710 N Broadway Ave, Chicago, IL 60660 2014-06-04
1679902324 Christopher Burgess Psychologist 1554 W Hollywood, #storefront, Chicago, IL 60660 2013-11-04
Find all providers in zip 60660

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1679181895 Robert J Chacon Dentist 15 S Throop St Apt 206, Chicago, IL 60607-2522 2020-07-14
1629693304 Priyanka Sikka Dentist 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 2020-06-09
1164045456 Yong Chang Dds PC. Dentist 3531 N Western Ave Unit B, Chicago, IL 60618-6025 2020-05-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1831749944 Kenwood Dental Group Dentist 1335 E 87th St Ste A, Chicago, IL 60619-7036 2019-09-19
1508412875 Kamal Paresh Patel Dentist 1040 W Randolph St, Chicago, IL 60607-2215 2019-08-13
1003469636 Ahmed Mansour Dentist 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 2019-07-23
1568024925 John Michael Burnheimer II Dentist 11 S Green St Unit 1106, Chicago, IL 60607-1031 2019-07-05
1497317515 Prasanth Dommaraju Dentist 3924 S Archer Ave, Chicago, IL 60632-1116 2019-06-29
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60660

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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