Broadway Smiles PC

NPI #1811161839 in Cushing, Oklahoma

Provider Information

NPI Number: 1811161839
Entity Type: Organization
Organization Name: Broadway Smiles PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 601 E BROADWAY ST
City: Cushing
State: Oklahoma
ZIP Code: 74023-3432
Phone: (918) 285-5500

Authorized Official

Name: DR. CHRISTOPHER RYAN BUGG, DDS
Title: OWNER
Phone: (918) 285-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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