OrganizationActive
Broadway Dental Psc
NPI 1639222466 · Dentist · Louisville, KY
Broadway Dental Psc is a Dentist organization in Louisville, KY (NPI 1639222466).
Provider details
- NPI number
- 1639222466
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rodney Fultz, Sec Treasurer(502) 772-7531
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
1813 West Broadway
Louisville, KY 40203
Phone: (502) 772-7531
Street-level locationGet directions
Mailing address
1813 West Broadway
Louisville, KY 40203
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2007-12-18
Frequently asked questions
- What is Broadway Dental Psc's NPI number?
- Broadway Dental Psc's National Provider Identifier (NPI) is 1639222466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Dental Psc?
- Broadway Dental Psc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Broadway Dental Psc located?
- Broadway Dental Psc's practice location on file with NPPES is 1813 West Broadway, Louisville, KY 40203.
- What is Broadway Dental Psc's phone number?
- The practice phone number listed in the NPPES registry for Broadway Dental Psc is (502) 772-7531.
- Who is the authorized official for Broadway Dental Psc?
- The authorized official listed on Broadway Dental Psc's NPPES record is Rodney Fultz, Sec Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Dental Psc's NPI active?
- Yes — Broadway Dental Psc's NPI (1639222466) is active in the NPPES registry as of the last update on 2007-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.