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

Broadway Family Dental PC

Organization Dental Clinic/Center · NPI 1457797318

Broadway Family Dental PC is a Dental Clinic/Center in Brooklyn, New York. Registered with an NPI since 2013.

In the registry since
2013
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

1152 Broadway
Brooklyn, NY 11221-3002
Phone: (718) 455-4400
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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

Record details

NPI number1457797318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrey Ivanov — Owner · 71804554400
NPI enumeratedMay 20, 2013
Last updated in NPPESMay 20, 2013
Mailing address1152 Broadway, Brooklyn, NY 11221-3002

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