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

Broadway Pediatric Dentistry, PLLC

Organization Pediatric Dentistry · NPI 1962159400

Broadway Pediatric Dentistry, PLLC is a Pediatric Dentistry in San Antonio, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3006 Broadway Ste 103
San Antonio, TX 78209-1561
Phone: (210) 225-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1962159400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Ayala — Owner · (121) 063-2456
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing addressPo Box 356, Lytle, TX 78052-0356

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