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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROAD PARK DENTAL PA

Active Organization

BROAD PARK DENTAL PA is a General Dentistry organization located in MANSFIELD, Texas. NPI 1083849707 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MANSFIELD, TX

Registration Details

NPI Number
1083849707
Provider Type
Organization
NPI Issued
May 26, 2009 (17.223954267999 yrs)
Last Updated
May 26, 2009
License
22486 (TX)

Practice Information

Address
1750 E BROAD ST
MANSFIELD, TX, 760633400
Browse TX providers · Browse ZIP 76063
Phone
8174736857
Fax
8174733256
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in MANSFIELD, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.