# BROADWAY DENTAL CENTER PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadway Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518246453
- **Authorized official:** DR. SUNITHA MURTHY DDS (OWNER)
- **Authorized official phone:** (973) 777-1202

## Contact information

- **Practice address:** 15 BROADWAY, SUITE 202, PASSAIC, NJ 07055-5007
- **Practice address phone:** (973) 777-1202
- **Mailing address:** 15 BROADWAY, SUITE 202, PASSAIC, NJ 07055-5007
- **Mailing address phone:** (973) 777-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI02292800 | NJ | Yes |

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 01/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0409961 | — | NJ |