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

Broadway Dentist LLC

Organization Dental Clinic/Center · NPI 1235381302

Broadway Dentist LLC is a Dental Clinic/Center in Everett, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
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

609 Broadway
Everett, MA 02149-3712
Phone: (617) 389-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 21366 (MA)

Record details

NPI number1235381302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Itkes — Manager · (617) 694-1614
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 21, 2008
Mailing address609 Broadway, Everett, MA 02149-3712

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