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

Broadmoor Srg PLLC

Organization Dentist · NPI 1831839455

Broadmoor Srg PLLC is a Dentist in Mesquite, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 N Galloway Ave Ste 6
Mesquite, TX 75149-4338
Phone: (214) 493-1216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1831839455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Abtahi — Manager · (214) 493-1216
Other names Smile Heroes Dental; Smile Heroes Dental
NPI enumeratedMarch 31, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address500 N Galloway Ave Ste 6, Mesquite, TX 75149-4338

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