OrganizationActive
Broadway Dental Center, LLC
NPI 1396968251 · General Practice Dentistry · Passaic, NJ
Broadway Dental Center, LLC is a General Practice Dentistry organization in Passaic, NJ (NPI 1396968251).
Provider details
- NPI number
- 1396968251
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Guram Yakobashvili, Owner(973) 777-1202
- License
- 20280 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
15 Broadway
Passaic, NJ 07055-5007
Phone: (973) 777-1202
Fax: (973) 777-0159
Street-level locationGet directions
Mailing address
15 Broadway
Passaic, NJ 07055-5007
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broadway Dental Center, LLC's NPI number?
- Broadway Dental Center, LLC's National Provider Identifier (NPI) is 1396968251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Dental Center, LLC?
- Broadway Dental Center, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Dental Center, LLC located?
- Broadway Dental Center, LLC's practice location on file with NPPES is 15 Broadway, Passaic, NJ 07055-5007.
- What is Broadway Dental Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Dental Center, LLC is (973) 777-1202.
- Who is the authorized official for Broadway Dental Center, LLC?
- The authorized official listed on Broadway Dental Center, LLC's NPPES record is Guram Yakobashvili, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Dental Center, LLC's NPI active?
- Yes — Broadway Dental Center, LLC's NPI (1396968251) is active in the NPPES registry as of the last update on 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.