Broad Smiles LLC
NPI #1831766211 in Salem, Massachusetts
Provider Information
- NPI Number
- 1831766211
- Entity Type
- Organization
- Organization Name
- Broad Smiles LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 5, 2021
- Last Updated
- Jun 5, 2021
Practice Location
- Address
- 600 LORING AVE STE 8
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-4264
- Phone
- (978) 910-0004
Authorized Official
- Name
- DR. HUBERT J PARK, DMD, MPH
- Title
- PRESIDENT
- Phone
- (617) 895-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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Individual Providers
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| DR. Jason M Gould, D.M.D. |  AI Deep Dive |
| DR. Stuart S Gould, DMD | AI Deep Dive |
| DR. Eugene A. Mickey, D.M.D. | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Stuart S Gould Dmd | AI Deep Dive |
| Salem Pediatric Dental & Orthodontic Associates | AI Deep Dive |
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