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

Broadway Dental PSC

Organization Dentist · NPI 1639222466

Broadway Dental PSC is a Dentist in Louisville, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1813 W Broadway
Louisville, KY 40203
Phone: (502) 772-7531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1639222466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Fultz — Sec Treasurer · (502) 772-7531
NPI enumeratedJanuary 18, 2007
Last updated in NPPESDecember 18, 2007
Mailing address1813 West Broadway, Louisville, KY 40203

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