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

Broadway Dental LLC

Organization General Practice Dentistry · NPI 1790816817

Broadway Dental LLC is a General Practice Dentistry in Denison, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in
IA
In the registry since
2007
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

1415 Broadway
Denison, IA 51442-2052
Phone: (712) 263-5615
Fax: (712) 263-8124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 07912 (IA)

Record details

NPI number1790816817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Ouderkirk-Bock — Owner · (712) 263-5615
NPI enumeratedMarch 8, 2007
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address1415 Broadway, Denison, IA 51442-2052

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