OrganizationActive
Broad Smile Dentistry
NPI 1770042723 · Dental Clinic/Center · Henrico, VA
Broad Smile Dentistry is a Dental Clinic/Center organization in Henrico, VA (NPI 1770042723).
Provider details
- NPI number
- 1770042723
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Myungsuk Koh, Officer(804) 913-1710
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4017 Lauderdale Dr
Henrico, VA 23233-1082
Phone: (804) 913-1710
Street-level locationGet directions
Mailing address
4017 Lauderdale Dr
Henrico, VA 23233-1082
Registry dates
- Enumerated
- 2019-03-19
- Last updated
- 2019-03-19
Frequently asked questions
- What is Broad Smile Dentistry's NPI number?
- Broad Smile Dentistry's National Provider Identifier (NPI) is 1770042723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Smile Dentistry?
- Broad Smile Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Broad Smile Dentistry located?
- Broad Smile Dentistry's practice location on file with NPPES is 4017 Lauderdale Dr, Henrico, VA 23233-1082.
- What is Broad Smile Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Broad Smile Dentistry is (804) 913-1710.
- Who is the authorized official for Broad Smile Dentistry?
- The authorized official listed on Broad Smile Dentistry's NPPES record is Myungsuk Koh, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Smile Dentistry's NPI active?
- Yes — Broad Smile Dentistry's NPI (1770042723) is active in the NPPES registry as of the last update on 2019-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.