Sfcdp LLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9088 Issued in CO

Legal business name

SFCDP LLC.

Doing business as

COMFORT DENTAL SOUTH COLLEGE

Practice address

4032 S College Ave
A1
Fort Collins, CO 80525-3076

Phone

(970) 225-2273

Fax

(970) 225-3718

NPI assigned

Sep 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bradley M. Smith, D.D.S.

Title

Partner/Owner

Phone

(970) 225-2273

Specialties & licenses 2

Addresses

Other names 1

• COMFORT DENTAL SOUTH COLLEGE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Adkins, DMD

  • Dentist
  • Fort Collins, CO
  • NPI 1154946507
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1033442181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 S COLLEGE AVE",
            "address_2": "A1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253076",
            "telephone_number": "970-225-2273",
            "fax_number": "970-225-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 S COLLEGE AVE",
            "address_2": "A1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253076",
            "telephone_number": "970-225-2273",
            "fax_number": "970-225-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFCDP LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "970-225-2273",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9088",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMFORT DENTAL SOUTH COLLEGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Sewell, LPCC
• Tami Sexton, OTR/L
• Tiana Kylee Sexton, RDN
• Sexual Assault Victim Advocate Center
• Sexual Assault Victim Advocate Center
• Shoshanna Shachtman, ED.D, LPC, NCC
• William A Shachtman, M.D.
• Hannah Elaine Shaffer
• Justin Shaffer, LCSW, LAC, MSW
• Kristi M Shaffer, L.C.S.W.

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.