Broadway Family Dentistry – Dental Clinic/Center, NPI 1114568029

Broadway Family Dentistry is a healthcare provider. based in Portland, Oregon. specializing in Dental Clinic/Center. The NPI Number for Broadway Family Dentistry is 1114568029

Main info

Organization
Name
Broadway Family Dentistry
NPI
1114568029
Phone
(503) 788-1008
Address
5528 SE Powell Blvd
Authorized Official
MELODY BENNION DIRECTOR OF INTEGRATIONS
Enumeration Date
1 October 2019
Last Update Date
20 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Broadway Family Dentistry

  • 5528 SE Powell Blvd

    Portland, OR 972062956

    Phone: (503) 788-1008

    Type: Location

  • 9211 SE Division St

    Portland, OR 972661452

    Phone: (503) 254-2068

    Type: Location

  • 508 E Broadway Ave

    Milton Freewater, OR 978621315

    Phone: (541) 938-3363

    Fax: (541) 938-3912

    Type: Location

  • North 44th Street, Phoenix, Maricopa County, Arizona, 85032-7702, United States

    PHOENIX, AZ 850087622

    Phone: (480) 626-4154

    Type: Mailing

  • 11815, Southwest King James Place, Tigard, Metro, Washington County, Oregon, 97224, United States

    TIGARD, OR 972242479

    Phone: (503) 433-8256

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97206)

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Reviews

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Frequently asked questions

What is the standard ID for Broadway Family Dentistry in the U.S.?
In the U.S., Broadway Family Dentistry is identified by NPI 1114568029.
Is Broadway Family Dentistry currently accepting referrals based on NPI status?
Registry metadata lists Broadway Family Dentistry as active.
How should patients interpret Broadway Family Dentistry's specialty?
The extract shows Dental Clinic/Center for Broadway Family Dentistry. Clinical services aligned with this taxonomy classification.
Can patients visit Broadway Family Dentistry in Portland, Oregon?
For routing, start with Portland, Oregon for Broadway Family Dentistry, then verify phone and hours locally.
Can I export Broadway Family Dentistry's record?
You can download the official NPPES record; we summarize key fields for readability.

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