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

Broadway Family Dental LLC

Organization Dentist · NPI 1790235315

Broadway Family Dental LLC is a Dentist in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
Specialties on file
6
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

15 Broadway
Passaic, NJ 07055-5007
Phone: (973) 955-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
Periodontics Taxonomy 1223P0300X · Licence 22DI020689 (NJ)
Periodontics Taxonomy 1223P0300X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1790235315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Priya Duggal — Periodontist · (973) 955-2022
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 10, 2016
Mailing address15 Broadway, Passaic, NJ 07055-5007

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