OrganizationActive
Broadway Smiles
NPI 1427417328 · Preferred Provider Organization · Escondido, CA
Provider details
- NPI number
- 1427417328
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- Nc Family Dental
- Organization subpart
- Yes
- Authorized official
- Marlene Thompson, Owner(760) 480-5622
- License
- 50382 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
126 W El Norte Pkwy
Escondido, CA 92026-2502
Phone: (760) 480-5622
Fax: (760) 480-5623
Approximate (ZIP-level) locationGet directions
Mailing address
126 W El Norte Pkwy
Escondido, CA 92026-2502
Other names (DBA / former)
- Doing business as
- Broadway Smiles
Registry dates
- Enumerated
- 2016-02-19
- Last updated
- 2016-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.