Perfect Teeth - Sheridan and 64TH Avenue P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6097 Issued in CO

Legal business name

PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C.

Practice address

5169 W 64TH Ave
Arvada, CO 80003-6531

Phone

(303) 426-4050

Fax

(303) 426-4634

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Summers

Title

Credentailing

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

Other names 1

• Perfect Teeth - Sheridan and 64th Avenue P.C. Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013038595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5169 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800036531",
            "telephone_number": "303-426-4050",
            "fax_number": "303-426-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800036531",
            "telephone_number": "303-426-4050",
            "fax_number": "303-426-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - SHERIDAN AND 64TH AVENUE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CREDENTAILING",
        "authorized_official_telephone_number": "303-285-6098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Sheridan and 64th Avenue P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin John Pena, MD
• Nicole Rae Penner
• Hannah Pereira, OTD, OTR/L
• Perfect Teeth - 64TH and Ward P.C.
• Perfect Teeth - 88TH & Wadsworth P.C.
• Daniel L Perkins, D.C.
• Glenn Permar II, LPC
• Jessica Lorraine Perry, LCSW, RN
• Melinda Ann Perry, LCSW
• Personal Integrative PT PLLC

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.