Southmoor Pediatric Dentistry in Denver - Pediatric Dentistry
Southmoor Pediatric Dentistry - NPI 1811972094
Southmoor Pediatric Dentistry is a Pediatric Dentistry in Denver, Colorado. Southmoor Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Southmoor Pediatric Dentistry is 1811972094. The last update date is 2021-01-11.
Southmoor Pediatric Dentistry's current location address is 6850 E Hampden Ave, Denver, Colorado. You can contact this provider via phone number 3037586057 and fax number 3036929655. The mailing address for Southmoor Pediatric Dentistry is 6850 E Hampden Ave, Denver, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southmoor Pediatric Dentistry |
|---|---|
| Address | 6850 E Hampden Ave, Denver, Colorado |
| Phone Number | 3037586057 |
| Fax Number | 3036929655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith R. Bradley |
| Telephone Number | 3037991872 |
NPI Number Detail
| NPI Number | 1811972094 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2021-01-11 |
Provider Mailing Address Detail
| Address | 6850 E Hampden Ave |
|---|---|
| City | Denver |
| State | Colorado (CO) |
| Post Code | 802243024 |
| Phone Number | 3037586057 |
| Fax Number | 3036929655 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4949 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identifier code assigned to Southmoor Pediatric Dentistry by the Centers for Medicare & Medicaid Services?
The Southmoor Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1811972094 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Southmoor Pediatric Dentistry?
The Southmoor Pediatric Dentistry is physically situated at 6850 E Hampden Ave, in the city of Denver, state of CO, with the postal code 802243024.
What is the area of specialization for Southmoor Pediatric Dentistry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southmoor Pediatric Dentistry is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
When did the Southmoor Pediatric Dentistry receive its 1811972094?
The Southmoor Pediatric Dentistry was issued its 1811972094 on 2005-12-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Southmoor Pediatric Dentistry most recently updated?
The details pertaining to the Southmoor Pediatric Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2021-01-11.