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.
Organization
BROAD SMILE DENTISTRY
Active
Organization
BROAD SMILE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYUNGSUK KOH DMD (OFFICER)
(804) 913-1710
Entity
Organization
Contact information
Practice address
4017 LAUDERDALE DR, HENRICO, VA 23233-1082
(804) 913-1710
Mailing address
4017 LAUDERDALE DR, HENRICO, VA 23233-1082
(804) 913-1710
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers