Southmoor Pediatric Dentistry
Southmoor Pediatric Dentistry provides Pediatric Dentistry in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2005.
- Licensed in
- CO
- In the registry since
- 2005
Practice location Address checks out
6850 E Hampden AveDenver, CO 80224-3024
Phone: (303) 758-6057
Fax: (303) 692-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 04949 (CO) |
|---|
Record details
| NPI number | 1811972094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bradley Smith — President · (303) 799-1872 |
| NPI enumerated | December 12, 2005 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 11, 2021 |
| Mailing address | 6850 E Hampden Ave, Denver, CO 80224-3024 |
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