Perfect Teeth - Rio Rancho P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1398 Issued in NM

Legal business name

PERFECT TEETH - RIO RANCHO P.C.

Doing business as

Perfect Teeth - Rio Rancho P.C.

Practice address

4500 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932

Phone

(505) 994-1110

Fax

(505) 994-1112

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

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

Credentialing

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

Other names 1

• Perfect Teeth - Rio Rancho P.C. 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, and the practitioner matching its NPPES authorized official.

• Frank Dominguez, DMD

  • General Practice Dentistry
  • Rio Rancho, NM
  • NPI 1871594408
  NPD (past)

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": "1245351675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245932",
            "telephone_number": "505-994-1110",
            "fax_number": "505-994-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245932",
            "telephone_number": "505-994-1110",
            "fax_number": "505-994-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - RIO RANCHO 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": "CREDENTIALING",
        "authorized_official_telephone_number": "303-285-6098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Rio Rancho P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Perez
• Estrella Perez
• Jessica Lynn Perez, RN
• Kiera Nicole Perez
• Patricia Perez
• Tracy G. Perkins, PT
• Bethany Perno
• Sierra Perry
• Jeriann C Peter, FNP
• Cindy Lynn Petrillo, RN

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• 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.