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

Broadway Dental, PA

Organization General Practice Dentistry · NPI 1740733104

Broadway Dental, PA is a General Practice Dentistry in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5621 S Broadway Ave
Tyler, TX 75703-4348
Phone: (951) 642-0948
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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 29244 (TX)

Record details

NPI number1740733104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Arif — President · (951) 642-0948
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016
Mailing address5621 S Broadway Ave, Tyler, TX 75703-4348

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