Southeast Dental Arts LLC

Primary specialty

DentistTaxonomy code 122300000X

License

6988 Issued in CO

Legal business name

SOUTHEAST DENTAL ARTS LLC

Practice address

4380 S. Syracuse St. #504
Denver, CO 80237

Phone

(303) 741-1011

Fax

(303) 741-1189

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Eric Hamidi

Title

Dentist

Phone

(303) 741-1011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1851547368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 S. SYRACUSE ST #504",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80237",
            "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. #504",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80237",
            "telephone_number": "303-741-1011",
            "fax_number": "303-741-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-741-1011"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "6988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Logan Family Practice
• 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

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.