Perfect Teeth / Monument P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6097 Issued in CO

Legal business name

PERFECT TEETH / MONUMENT P.C.

Practice address

1036 W Baptist Rd
Colorado Springs, CO 80921-2402

Phone

(719) 488-0101

Fax

(719) 481-8282

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Laurie K Arbuckle

Title

Credentialing Specialist

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1598198640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 W BAPTIST RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212402",
            "telephone_number": "719-488-0101",
            "fax_number": "719-481-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 W BAPTIST RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212402",
            "telephone_number": "719-488-0101",
            "fax_number": "719-481-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH / MONUMENT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "303-285-6098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Teeth - Powers P.C.
• Perfect Teeth - South 8TH Street P.C.
• Perfect Teeth - Uintah Gardens P.C.
• Perfect Teeth - Union & Academy P.C.
• Perfect Teeth - Woodman Valley P.C.
• Performance Back
• Performance Consulting Services, LLC
• Performance Pediatrics
• Cameron Lloyd Perigo, D.D.S.
• Marienne Perilla

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, 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 Nov 4, 2013; 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.