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

Broadway Dental Services

Organization General Practice Dentistry · NPI 1215219084

Broadway Dental Services is a General Practice Dentistry in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

3195 Broadway
Gary, IN 46409-1006
Phone: (219) 671-3754
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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 12011216A (IN)

Record details

NPI number1215219084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mukuka Kapilikisha — Owner · (219) 671-3754
NPI enumeratedSeptember 16, 2011
Last updated in NPPESSeptember 16, 2011
Mailing address1693 Stillwater Ave, Dyer, IN 46311-3088

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