OrganizationActive
Broad Mountain Family Dentistry, P.C.
NPI 1366416828 · General Practice Dentistry · Frackville, PA
Provider details
- NPI number
- 1366416828
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Frank Blozusky, Corporate President/Dentist(570) 874-3981
- License
- DS-029348-L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
309 W Pine St
Frackville, PA 17931-1211
Phone: (570) 874-3981
Fax: (570) 874-3981
Street-level locationGet directions
Mailing address
309 W Pine St
Frackville, PA 17931-1211
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.