OrganizationActive
Broadway Dental, P.A.
NPI 1740733104 · General Practice Dentistry · Tyler, TX
Broadway Dental, P.A. is a General Practice Dentistry organization in Tyler, TX (NPI 1740733104).
Provider details
- NPI number
- 1740733104
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mohammad Arif, President(951) 642-0948
- License
- 29244 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5621 S Broadway Ave
Tyler, TX 75703-4348
Phone: (951) 642-0948
Street-level locationGet directions
Mailing address
5621 S Broadway Ave
Tyler, TX 75703-4348
Registry dates
- Enumerated
- 2016-08-02
- Last updated
- 2016-08-02
Frequently asked questions
- What is Broadway Dental, P.A.'s NPI number?
- Broadway Dental, P.A.'s National Provider Identifier (NPI) is 1740733104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Dental, P.A.?
- Broadway Dental, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Dental, P.A. located?
- Broadway Dental, P.A.'s practice location on file with NPPES is 5621 S Broadway Ave, Tyler, TX 75703-4348.
- What is Broadway Dental, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Broadway Dental, P.A. is (951) 642-0948.
- Who is the authorized official for Broadway Dental, P.A.?
- The authorized official listed on Broadway Dental, P.A.'s NPPES record is Mohammad Arif, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Dental, P.A.'s NPI active?
- Yes — Broadway Dental, P.A.'s NPI (1740733104) is active in the NPPES registry as of the last update on 2016-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.