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Broadway Dental LLC

General Practice Dentistry in Denison, IA · enumerated 2007 · authorized official Kristi Ouderkirk-Bock, Owner.

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

National Provider Identifier

1790816817

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Dental LLC
Practice address 1415 Broadway, Denison, IA, 51442
Phone (712) 263-5615
Fax (712) 263-8124
Enumeration date Mar 8, 2007
Last updated in NPPES Apr 4, 2025

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 07912 (IA) Primary

Authorized official

Name Kristi Ouderkirk-Bock
Title Owner
Phone (712) 263-5615

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

What type of organization is Broadway Dental LLC?
Broadway Dental LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-04.