BROADWAY FAMILY DENTAL CENTER


Address: 595 N Broadway St, Coal City, IL 60416-1046
Phone: 8156348009

BROADWAY FAMILY DENTAL CENTER (NPI# 1922378900) 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) 1922378900
Entity Type Organization
Organization Name BROADWAY FAMILY DENTAL CENTER
Practice Address 595 N Broadway St
Coal City
IL 60416-1046
Practice Telephone 8156348009
Practice Fax Number 8156342008
Mailing Telephone 8156348009
Mailing Fax Number 8156342008
Enumeration Date 2012-01-06
Last Update Date 2012-01-06
Authorized Official Name DR. PETER J PULLARA JR. (DENTIST/OWNER)
Authorized Official Telephone 8156348009
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019021493 IL Dental Providers

Office Location

Street Address 595 N BROADWAY ST
City COAL CITY
State IL
Zip Code 60416-1046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821201575 Pullara Family Dental Center Dentist 595 N Broadway St, Coal City, IL 60416-1046 2007-05-08
1669029245 Kristin Marie Vaught Dentist 595 N Broadway St, Coal City, IL 60416-1046 2019-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245759083 Jenna Valentine Counselor 40 N Broadway Street, Coal City, IL 60416 2017-09-13
1518042688 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 245 S Broadway Street, Coal City, IL 60416 2006-10-26
1912919259 Daniel Martin Jurak Family Medicine 935 E Division St, Diamond, IL 60416 2006-08-13
1538653894 Natalie A Palka Nurse Practitioner 5775 E State Route 113, Coal City, IL 60416 2018-06-20
1437235447 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 245 S Broadway Street, Coal City, IL 60416 2006-10-31
1144745100 Amanda Patten Speech-Language Pathologist 300 N Broadway St, Coal City, IL 60416-1043 2017-08-10
1467487975 Roman M Smyk Surgery 460 N Broadway St, Coal City, IL 60416-1045 2006-07-12
1144471772 Spyro D. Analytis, Mdpc Internal Medicine 460 N Broadway St, Coal City, IL 60416-1045 2008-10-01
1487729430 John D Scala Md PC Pediatrics 460 N Broadway St, Coal City, IL 60416-1045 2006-11-22
1487948964 Liberty Medical Center Coal City Sc Family Medicine 4 E North St, Coal City, IL 60416-1087 2011-06-02
Find all providers in zip 60416

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
1821201575 Pullara Family Dental Center Dentist 595 N Broadway St, Coal City, IL 60416-1046 2007-05-08
1962620088 Robin Trevison Dentist 645 E Division St, Coal City, IL 60416-1679 2007-04-23
1356604672 Coal City Dental Center Dentist 645 E Division St, Coal City, IL 60416-1679 2012-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104425230 Sundeep Franklin Dmd & Daiana Capota Dmd Pllc Dentist 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 2020-10-20
1801403555 Stephanie Elizabeth Miller Dentist 2220 Sisters Ave, Naperville, IL 60564-4394 2020-09-27
1417564121 Gursimran Reen, Dmd LLC Dentist 29 S Webster St Ste 108, Naperville, IL 60540-5353 2020-09-26
1285240531 Summit Dental Center LLC Dentist 7710 W 62nd Pl, Summit, IL 60501-1702 2020-09-22
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1932713583 Kevin G Reardon Dentist 479 S Spring Rd, Elmhurst, IL 60126-3857 2020-09-01
1831702307 Sms Dental LLC Dentist 17727 Halsted St, Homewood, IL 60430 2020-08-25
1548870884 Daniel Patrick Jurgens Dentist 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 2020-08-02
1184233934 Shawna Jade Dudovitz Dentist 309 Tamarack Ln, Shiloh, IL 62269-2993 2020-07-28
1417565748 Robert Hails Dentist 3540 N Belt W Ste B, Belleville, IL 62226-5975 2020-07-22
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Competitor

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City COAL CITY
Zip Code 60416

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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