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

Broadway Family and Cosmetic Dentistry, PC

Organization General Practice Dentistry · NPI 1053442244

Broadway Family and Cosmetic Dentistry, PC is a General Practice Dentistry in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

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

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Practice location Address checks out

2612 W Broadway
Council Bluffs, IA 51501-3510
Phone: (712) 323-3615
Fax: (712) 325-6155
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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 6699 (IA)

Record details

NPI number1053442244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Smith — Owner · (712) 323-3615
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 1, 2008
Mailing address2612 W Broadway, Council Bluffs, IA 51501-3510

Other providers in Council Bluffs