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Broadway Dental, LLC — NPI 1497258354, Poteau, OK | NPI Central

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OrganizationActive

Broadway Dental, LLC

NPI 1497258354 · General Practice Dentistry · Poteau, OK

Provider details

NPI number: 1497258354
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Ayan Lawson, Dentist(918) 448-6083
License: 5809 (OK)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 5809 (OK)
Dental Providers

Practice location

2104 N Broadway St

Poteau, OK 74953-2501

Phone: (918) 647-7080

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

114 W Main St

Wilburton, OK 74578-4044

Registry dates

Enumerated: 2018-03-16
Last updated: 2018-03-16

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