OrganizationActive
Southmoor Pediatric Dentistry
NPI 1811972094 · Pediatric Dentistry · Denver, CO
Southmoor Pediatric Dentistry is a Pediatric Dentistry organization in Denver, CO (NPI 1811972094).
Provider details
- NPI number
- 1811972094
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bradley Smith, President(303) 799-1872
- License
- 04949 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6850 E Hampden Ave
Denver, CO 80224-3024
Phone: (303) 758-6057
Fax: (303) 692-9655
Street-level locationGet directions
Mailing address
6850 E Hampden Ave
Denver, CO 80224-3024
Registry dates
- Enumerated
- 2005-12-12
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Southmoor Pediatric Dentistry's NPI number?
- Southmoor Pediatric Dentistry's National Provider Identifier (NPI) is 1811972094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southmoor Pediatric Dentistry?
- Southmoor Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Southmoor Pediatric Dentistry located?
- Southmoor Pediatric Dentistry's practice location on file with NPPES is 6850 E Hampden Ave, Denver, CO 80224-3024.
- What is Southmoor Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Southmoor Pediatric Dentistry is (303) 758-6057.
- Who is the authorized official for Southmoor Pediatric Dentistry?
- The authorized official listed on Southmoor Pediatric Dentistry's NPPES record is Bradley Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southmoor Pediatric Dentistry's NPI active?
- Yes — Southmoor Pediatric Dentistry's NPI (1811972094) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.