Sfdo LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SFDO LLC

Practice address

4146 Neuman Rd
Saint Clair, MI 48079-3234

Phone

(810) 941-8983

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Jared Pope, DDS

Title

Owner

Phone

(480) 332-6111

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Family Dentistry & Orthodontics Former legal business name

Practitioners 1

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

• Andrew Terence Brown

  • Dentist
  • Scottsdale, AZ
  • NPI 1861629560
  NPD (past)

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1831520725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 E BELL RD",
            "address_2": "STE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546452",
            "telephone_number": "480-474-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 NEUMAN RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793234",
            "telephone_number": "810-941-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-332-6111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Family Dentistry & Orthodontics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Helena Marie Schrader
• Gary D Schroyer, DDS
• Emily Grace Schumacher
• Seton Health Corporation of Southeastern Michigan
• Sew PLLC
• Cheryl Lynn Sheets, LPTA
• Laura Jean Shurkey
• Antoinette Skelly, LMT
• Ashton Edward Skelly
• Laura Elizabeth Somogyi, M.S.W., L.B.S.W.

• General Practice Dentistry in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.