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Broadway Family and Cosmetic Dentistry, Partnership

General Practice Dentistry in Council Bluffs, IA · enumerated 2010 · authorized official Gary Smith, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063715969

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Family and Cosmetic Dentistry, Partnership
Practice address 2612 W Broadway, Council Bluffs, IA, 51501
Phone (712) 323-3615
Fax (712) 325-6155
Enumeration date Dec 15, 2010
Last updated in NPPES Dec 15, 2010

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 6699 (IA) Primary

Authorized official

Name Gary Smith
Title Dentist
Phone (712) 323-3615

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Broadway Family and Cosmetic Dentistry, Partnership?
NPPES lists Gary Smith (Dentist) as the authorized official for this organization.
What is the NPI number for Broadway Family and Cosmetic Dentistry, Partnership?
The NPI for Broadway Family and Cosmetic Dentistry, Partnership is 1063715969, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-15.