Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Mountain Family Dentistry, PC

Organization General Practice Dentistry · NPI 1366416828

Broad Mountain Family Dentistry, PC is a General Practice Dentistry in Frackville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 W Pine St
Frackville, PA 17931-1211
Phone: (570) 874-3981
Fax: (570) 874-3981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS-029348-L (PA)

Record details

NPI number1366416828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Blozusky — Corporate President/Dentist · (570) 874-3981
NPI enumeratedFebruary 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address309 W Pine St, Frackville, PA 17931-1211

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