Southmoor Pediatric Dentistry

LBN: Southmoor Pediatric Dentistry
Southmoor Pediatric Dentistry is an health care organization with primary practice located at 6850 E Hampden Ave , Denver CO 80224-3024. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Southmoor Pediatric Dentistry can be contacted via phone (303) 758-6057, or through Smith, Bradley R. via phone (303) 799-1872.

Contact Information

Primary practice address
6850 E Hampden Ave Denver CO 80224-3024
Phone: (303) 758-6057
Fax: (303) 692-9655
Website:
Map and Directions
Authorized official contact:
Name: Smith, Bradley R.
Phone: (303) 799-1872

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 04949 Colorado

Profile Details

NPI number 1811972094
LBN Legal business name Southmoor Pediatric Dentistry
DBA Doing business as
Authorized official Smith, Bradley R.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2005
Last updated Jan 11th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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