What is Broadway Dentist LLC's NPI number?

Broadway Dentist LLC's National Provider Identifier (NPI) is 1235381302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Broadway Dentist LLC?

Broadway Dentist LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).

Where is Broadway Dentist LLC located?

Broadway Dentist LLC's practice location on file with NPPES is 609 Broadway, Everett, MA 02149-3712.

What is Broadway Dentist LLC's phone number?

The practice phone number listed in the NPPES registry for Broadway Dentist LLC is (617) 389-3636.

Who is the authorized official for Broadway Dentist LLC?

The authorized official listed on Broadway Dentist LLC's NPPES record is Peter Itkes, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Broadway Dentist LLC's NPI active?

Yes — Broadway Dentist LLC's NPI (1235381302) is active in the NPPES registry as of the last update on 2008-10-21.

OrganizationActive

Broadway Dentist LLC

NPI 1235381302 · Dental Clinic/Center · Everett, MA

Broadway Dentist LLC is a Dental Clinic/Center organization in Everett, MA (NPI 1235381302).

Provider details

NPI number: 1235381302
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Peter Itkes, Manager(617) 694-1614
License: 21366 (MA)

Practice location

609 Broadway

Everett, MA 02149-3712

Phone: (617) 389-3636

Street-level locationGet directions

More MA providers

Mailing address

609 Broadway

Everett, MA 02149-3712

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000XLicense 21366 (MA)
Ambulatory Health Care Facilities

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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.

Enumerated: 2008-10-21
Last updated: 2008-10-21

Frequently asked questions

What is Broadway Dentist LLC's NPI number?: Broadway Dentist LLC's National Provider Identifier (NPI) is 1235381302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Broadway Dentist LLC?: Broadway Dentist LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
Where is Broadway Dentist LLC located?: Broadway Dentist LLC's practice location on file with NPPES is 609 Broadway, Everett, MA 02149-3712.
What is Broadway Dentist LLC's phone number?: The practice phone number listed in the NPPES registry for Broadway Dentist LLC is (617) 389-3636.
Who is the authorized official for Broadway Dentist LLC?: The authorized official listed on Broadway Dentist LLC's NPPES record is Peter Itkes, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Broadway Dentist LLC's NPI active?: Yes — Broadway Dentist LLC's NPI (1235381302) is active in the NPPES registry as of the last update on 2008-10-21.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions