Perfect Teeth - Castle Rock P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6097 Issued in CO

Legal business name

PERFECT TEETH - CASTLE ROCK P.C.

Doing business as

Perfect Teeth - Castle Rock P.C.

Practice address

390 S Wilcox St
Unit D
Castle Rock, CO 80104-1971

Phone

(303) 660-6000

Fax

(303) 660-9745

NPI assigned

Apr 2, 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

Credentialing

Phone

(303) 285-6098

Specialties & licenses 1

Addresses

Other names 1

• Perfect Teeth - Castle Rock P.C. Doing business as

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609996511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S WILCOX ST",
            "address_2": "UNIT D",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041971",
            "telephone_number": "303-660-6000",
            "fax_number": "303-660-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S WILCOX ST",
            "address_2": "UNIT D",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041971",
            "telephone_number": "303-660-6000",
            "fax_number": "303-660-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - CASTLE ROCK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Castle Rock P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Seiji Pelky
• Caroline Ivette Pena, NURSE PRACTITIONER
• Jay Vivian Pendell, PHARMD
• Vicki Pender, PHARM.D.
• Marlow Perez, MD
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• Performance Orthopedics
• Amanda Jeannine Perkins
• Marti Leigh Perkins, CNA
• Jacob Hugh Perry

• General Practice Dentistry in Castle Rock, CO
• Providers in Castle Rock, 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.