Broadway Dentist LLC

Broadway Dentist LLC is a healthcare organization registered as Dental Clinic/Center in Everett, MA, holding Type 2 (organization) NPI 1235381302 since 2008. The authorized official on file is Peter Itkes, Manager.

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NPI	1235381302
Entity type	Organization (Type 2)
Legal business name	Broadway Dentist LLC
Practice address	609 BROADWAY, Everett, MA, 02149
Phone	6173893636
Enumeration date	2008-10-21
Last updated in NPPES	2008-10-21

Authorized official

Name	Peter Itkes
Title	Manager
Phone	6176941614

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QD0000X	Dental Clinic/Center	Primary	21366	MA

Copy-ready billing details

Provider: Broadway Dentist LLC
NPI: 1235381302
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 609 BROADWAY, Everett, MA, 02149

Providers at this address

NPI	Name	Type	Specialty	Location
1427466606	Di Liu	Individual	General Practice Dentistry	Everett, MA

Verify this record

Cross-check NPI 1235381302 against the authoritative CMS record: view Broadway Dentist LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Broadway Dentist LLC located?

The practice location on file with NPPES is in Everett, MA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-10-21.