Broadway Family and Cosmetic Dentistry, Partnership
NPI 1063715969 · General Practice Dentistry · Council Bluffs, IA
Broadway Family and Cosmetic Dentistry, Partnership is a General Practice Dentistry organization in Council Bluffs, IA (NPI 1063715969).
Provider details
- NPI number
- 1063715969
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gary Smith, Dentist(712) 323-3615
- License
- 6699 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-12-15
- Last updated
- 2010-12-15
Frequently asked questions
- What is Broadway Family and Cosmetic Dentistry, Partnership's NPI number?
- Broadway Family and Cosmetic Dentistry, Partnership's National Provider Identifier (NPI) is 1063715969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Family and Cosmetic Dentistry, Partnership?
- Broadway Family and Cosmetic Dentistry, Partnership is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Family and Cosmetic Dentistry, Partnership located?
- Broadway Family and Cosmetic Dentistry, Partnership's practice location on file with NPPES is 2612 W Broadway, Council Bluffs, IA 51501-3510.
- What is Broadway Family and Cosmetic Dentistry, Partnership's phone number?
- The practice phone number listed in the NPPES registry for Broadway Family and Cosmetic Dentistry, Partnership is (712) 323-3615.
- Who is the authorized official for Broadway Family and Cosmetic Dentistry, Partnership?
- The authorized official listed on Broadway Family and Cosmetic Dentistry, Partnership's NPPES record is Gary Smith, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Family and Cosmetic Dentistry, Partnership's NPI active?
- Yes — Broadway Family and Cosmetic Dentistry, Partnership's NPI (1063715969) is active in the NPPES registry as of the last update on 2010-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.