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

Broad Smiles LLC

Organization Pediatric Dentistry · NPI 1831766211

Broad Smiles LLC is a Pediatric Dentistry in Salem, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Loring Ave Ste 8
Salem, MA 01970-4264
Phone: (978) 910-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1831766211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hubert Park — President · (617) 895-6700
NPI enumeratedJune 5, 2021
Last updated in NPPESJune 5, 2021
Certification dateJune 5, 2021
Mailing address600 Loring Ave Ste 8, Salem, MA 01970-4264

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