Loscar Numael Perez, DMD
Individual provider Active NPI Prosthodontics · Durango, CO
NPI 1669665485 · NPPES record last updated Nov 2, 2014
Key facts
- NPI
- 1669665485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- DN014685 (GA)
- Practice address
- 801 Florida Rd Unit 2
Durango, CO 81301-4775 - Phone
- (970) 259-0113
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-9527 | CO | MD | Prosthodontist |
| DN014685 | GA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates of the Southwest | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DEN-9527 | CO | |
| Prosthodontics | 1223P0700X | DN014685 | GA | Yes |
Addresses
Primary practice location
801 Florida Rd Unit 2
Durango, CO 81301-4775
Mailing address
1545 Powers Ferry Rd SE Ste 220
Marietta, GA 30067-9401
Phone (770) 980-9404
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.