Perfect Teeth - South Fort Collins P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6097 Issued in CO

Legal business name

PERFECT TEETH - SOUTH FORT COLLINS P.C.

Practice address

1355 Riverside Ave
Unit D
Fort Collins, CO 80524-4368

Phone

(970) 493-0999

Fax

(970) 493-2188

NPI assigned

Apr 3, 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

30328560987

Specialties & licenses 1

Addresses

Other names 1

• Perfect Teeth - South Fort Collins P.C. Doing business as

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": "1700907102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "UNIT D",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244368",
            "telephone_number": "970-493-0999",
            "fax_number": "970-493-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "UNIT D",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244368",
            "telephone_number": "970-493-0999",
            "fax_number": "970-493-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - SOUTH FORT COLLINS 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": "30328560987"
    },
    "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 - South Fort Collins P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue Evans Perchemlides, RN,CS
• Heather Perdue, M. ED., LPCC, ADDC
• Julia Marie Pereira
• Stephanie Perez, RN
• Perfect Teeth - North College P.C.
• Performance Physical Therapy & Rehabilitation , PC
• David C Peritz, MD
• Ramona Karen Perkins, FNP
• Scott Kimball Perkins, DDS
• Haley Marie Permar, M.S., CCC-SLP

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, 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.