Smile Four Professionals LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9576 Issued in CO

Legal business name

SMILE FOUR PROFESSIONALS LLC

Doing business as

Comfort Dental Braces

Practice address

4121 E County Line Rd
Centennial, CO 80122-8110

Phone

(303) 220-0550

Fax

(303) 220-0553

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tania Quinn, DMD

Title

Owner

Phone

(303) 220-0550

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental Braces Doing business as

Tax ID family

Comfort Dental Braces2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile Four Professionals LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pueblo, CO
  • NPI 1083848857
  NPD tax ID

Locations

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1750515706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 E COUNTY LINE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801228110",
            "telephone_number": "303-220-0550",
            "fax_number": "303-220-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E COUNTY LINE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801228110",
            "telephone_number": "303-220-0550",
            "fax_number": "303-220-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FOUR PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-220-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Leigh Small, NP
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• Anna Kristine Smith, MA
• Bonnie Smith
• Bradley R. Smith, D.D.S.,M.S.
• Brent J Smith, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Centennial, CO
• Providers in Centennial, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.