Southeast Dental Arts,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6988 Issued in CO

Legal business name

SOUTHEAST DENTAL ARTS,LLC

Practice address

4380 S Syracuse St Ste 504
Denver, CO 80237-2628

Phone

(303) 741-1011

Fax

(303) 741-1189

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eric A Hamidi, DMD

Title

Dentist

Phone

(303) 741-1011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1760995476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 S SYRACUSE ST STE 504",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372628",
            "telephone_number": "303-741-1011",
            "fax_number": "303-741-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 S SYRACUSE ST STE 504",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372628",
            "telephone_number": "303-741-1011",
            "fax_number": "303-741-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST DENTAL ARTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-741-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "6988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Logan Family Practice Center
• South Logan Medical Management SVCS LLC
• South Valley Physical Therapy PC
• Southbridge Partners II
• Southeast Dental Arts LLC
• Southeast Denver Dental Associates PC
• Southeast Denver Pediatrics, PC
• Southeast Family Practice Associates P C
• Brenda Marie Southerly, COTA
• Southern California Kidney Care, PC

• Dental Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.