OrganizationActive
Broadway Family Dental Center
NPI 1922378900 · General Practice Dentistry · Coal City, IL
Broadway Family Dental Center is a General Practice Dentistry organization in Coal City, IL (NPI 1922378900).
Provider details
- NPI number
- 1922378900
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Peter Pullara, Dentist/Owner(815) 634-8009
- License
- 019021493 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
595 N Broadway St
Coal City, IL 60416-1046
Phone: (815) 634-8009
Fax: (815) 634-2008
Street-level locationGet directions
Mailing address
595 N Broadway St
Coal City, IL 60416-1046
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-01-06
Frequently asked questions
- What is Broadway Family Dental Center's NPI number?
- Broadway Family Dental Center's National Provider Identifier (NPI) is 1922378900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Family Dental Center?
- Broadway Family Dental Center is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broadway Family Dental Center located?
- Broadway Family Dental Center's practice location on file with NPPES is 595 N Broadway St, Coal City, IL 60416-1046.
- What is Broadway Family Dental Center's phone number?
- The practice phone number listed in the NPPES registry for Broadway Family Dental Center is (815) 634-8009.
- Who is the authorized official for Broadway Family Dental Center?
- The authorized official listed on Broadway Family Dental Center's NPPES record is Peter Pullara, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Family Dental Center's NPI active?
- Yes — Broadway Family Dental Center's NPI (1922378900) is active in the NPPES registry as of the last update on 2012-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.