Bruce R Sofferman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6154 Issued in CT

Practice address

61 Elizabeth St
Derby, CT 06418-1825

Phone

(203) 734-1626

Fax

(203) 736-0387

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Dental Center, PC

  • General Practice Dentistry
  • Shelton, CT
  • NPI 1548478944
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093868986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181825",
            "telephone_number": "203-734-1626",
            "fax_number": "203-736-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181825",
            "telephone_number": "203-734-1626",
            "fax_number": "203-736-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFFERMAN",
        "first_name": "BRUCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Paige Sipos, RDH
• Merton A Smith, MD
• Michele L Smith, LCSW
• Sharon Lee Smith, PA-C
• Shayna Smith
• Leland J Soto III, MD
• Raina Sotsky, M.D.
• Southern Connecticut Urological Associates LLC
• David Spadaro, D.C
• Kenneth S Spector, MD PHD

• Dentist in Derby, CT
• Providers in Derby, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.