OrganizationActive
Broadway Gentle Dentistry PC
NPI 1437238607 · General Practice Dentistry · Kokomo, IN
Broadway Gentle Dentistry PC is a General Practice Dentistry organization in Kokomo, IN (NPI 1437238607).
Provider details
- NPI number
- 1437238607
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edward Mamaril, President(765) 453-9389
- License
- 54001486A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
2302 S Dixon Rd Ste 125
Kokomo, IN 46902-6425
Phone: (765) 453-9389
Fax: (765) 453-9369
Street-level locationGet directions
Mailing address
2302 S Dixon Rd Ste 125
Kokomo, IN 46902-6425
Other names (DBA / former)
- Doing business as
- Be Gentle Dentistry
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2014-10-06
Frequently asked questions
- What is Broadway Gentle Dentistry PC's NPI number?
- Broadway Gentle Dentistry PC's National Provider Identifier (NPI) is 1437238607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Gentle Dentistry PC?
- Broadway Gentle Dentistry PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Gentle Dentistry PC located?
- Broadway Gentle Dentistry PC's practice location on file with NPPES is 2302 S Dixon Rd Ste 125, Kokomo, IN 46902-6425.
- What is Broadway Gentle Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Gentle Dentistry PC is (765) 453-9389.
- Who is the authorized official for Broadway Gentle Dentistry PC?
- The authorized official listed on Broadway Gentle Dentistry PC's NPPES record is Edward Mamaril, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Gentle Dentistry PC's NPI active?
- Yes — Broadway Gentle Dentistry PC's NPI (1437238607) is active in the NPPES registry as of the last update on 2014-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.