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PERFECT TEETH - EAST 104TH AVENUE P.C. NPI 1922128859


NPI Information

NPI: 1922128859
Provider Name: PERFECT TEETH - EAST 104TH AVENUE P.C.

Doing Business As: PERFECT TEETH - EAST 104TH AVENUE P.C.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2200 E 104TH AVE
#112
THORNTON, CO
ZIP 80233
Phone: (303) 452-4142
Get Directions

PERFECT TEETH - EAST 104TH AVENUE P.C. is a general practice dentist in Thornton, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PERFECT TEETH - EAST 104TH AVENUE P.C. NPI is 1922128859. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Perfect Teeth - East 104th Avenue P.c..

The provider's business location address is:

2200 E 104TH AVE
#112
THORNTON, CO
ZIP 80233-404
Phone: (303) 452-4142
Fax: (303) 254-8360

The provider's authorized official is Laurie Summers .
The authorized official title is Credentialing and has the following contact phone number (303) 285-6098.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice6097COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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