Organization
BROADWAY DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ITKES (MANAGER)
(617) 694-1614
Entity
Organization
Contact information
Practice address
609 BROADWAY, EVERETT, MA 02149-3712
(617) 389-3636
Mailing address
609 BROADWAY, EVERETT, MA 02149-3712
(617) 389-3636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21366
MA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us