OrganizationActive
Broad Smiles LLC
NPI 1831766211 · Pediatric Dentistry · Salem, MA
Provider details
- NPI number
- 1831766211
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Hubert Park, President(617) 895-6700
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
600 Loring Ave Ste 8
Salem, MA 01970-4264
Phone: (978) 910-0004
Street-level locationGet directions
Mailing address
600 Loring Ave Ste 8
Salem, MA 01970-4264
Registry dates
- Enumerated
- 2021-06-05
- Last updated
- 2021-06-05
- Certified
- 2021-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.