CCD Perfect Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CCD PERFECT SMILES, LLC

Doing business as

Perfect Smiles

Practice address

2406 Bristol Rd
Bensalem, PA 19020-6002

Phone

(215) 752-5911

Fax

(215) 702-7666

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Beth Walsh

Title

Director of Operations

Phone

(610) 842-5421

Specialties & licenses 1

Addresses

Other names 1

• Perfect Smiles Doing business as

Locations

Practitioners 1

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

• Eugene Gutman, D.M.D.

  • General Practice Dentistry
  • Mercerville, NJ
  • NPI 1285857979
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1215408588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206002",
            "telephone_number": "215-752-5911",
            "fax_number": "215-702-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206002",
            "telephone_number": "215-752-5911",
            "fax_number": "215-702-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCD PERFECT SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "610-842-5421",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "Perfect Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caring Tree Home Health LLC
• Steven A Caruso, MD
• Laura Carvalho, DMD
• Christine M Casey, CRNA
• Sara Castillo
• Center for Vein Restoration PA PLLC
• Peter Cerenzo, MS, LAT, ATC, CES
• Angel Cerino, MS, LBS
• Thomas D. Cha, MD
• Lisa Chacko, LPT

• General Practice Dentistry in Bensalem, PA
• Providers in Bensalem, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.