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SOUTHMOOR PEDIATRIC DENTISTRY
NPI 1811972094
Dentist - Pediatric Dentistry in Denver, CO

Active since December 12, 2005
6850 E HAMPDEN AVE, DENVER, CO 80224(303) 758-6057(303) 692-9655 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Southmoor Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHMOOR PEDIATRIC DENTISTRY (NPI 1811972094) is a healthcare organization registered as a pediatric dentistry in Denver, Colorado and active in the NPI registry since December 2005. The organization lists Bradley R. Smith, President, as its authorized official.

NPPES Registry Identity

NPI1811972094
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTHMOOR PEDIATRIC DENTISTRY
Location Address6850 E HAMPDEN AVEDenver, CO 80224-3024
Mailing Address6850 E Hampden AveDenver, CO 80224-3024 · (303) 758-6057 · Fax (303) 692-9655
Phone(303) 758-6057
Fax(303) 692-9655
Organization SubpartNo
Authorized OfficialBradley R. SmithPresident · (303) 799-1872
Enumeration DateDecember 12, 2005
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1811972094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CO · 04949
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.
6850 E HAMPDEN AVE, Denver, CO 80224
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN R NELSON D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
6850 E HAMPDEN AVE
DENVER, CO 80224
Denver County (303) 758-6850
DR. ZACHARY WELLS D.M.D.
Dentist (Oral and Maxillofacial Surgery)
6850 E HAMPDEN AVE, SUITE 202
DENVER, CO 80224
Denver County (303) 758-6850
STEVEN R. NELSON, DDS, LLC
Dentist (Oral and Maxillofacial Surgery)
6850 E HAMPDEN AVE, SUITE 202
DENVER, CO 80224
Denver County (303) 758-6850
DR. GREGORY W DIETMEIER DDS MS PC
Dentist (Orthodontics and Dentofacial Orthopedics)
6850 E HAMPDEN AVE
DENVER, CO 80224
Denver County (303) 758-3114
NELSON & WELLS ORAL AND MAXILLOFACIAL SURGERY PROF LLC
Dentist (Oral and Maxillofacial Surgery)
6850 E HAMPDEN AVE, SUITE 202
DENVER, CO 80224
Denver County (303) 758-6850
ROCKY MOUNTAIN ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
6850 E HAMPDEN AVE, SUITE 202
DENVER, CO 80224
Denver County (303) 758-6850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southmoor Pediatric Dentistry's NPI number?

The NPI number for Southmoor Pediatric Dentistry is 1811972094. It was assigned to this organization in the NPPES registry on December 12, 2005.

Where is Southmoor Pediatric Dentistry located?

Southmoor Pediatric Dentistry is located at 6850 E Hampden Ave, Denver, CO 80224. The listed phone number is (303) 758-6057.

What is Southmoor Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Southmoor Pediatric Dentistry was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.