Perfect Smile Dental of Altoona PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038278 Issued in PA

Legal business name

PERFECT SMILE DENTAL OF ALTOONA PC

Practice address

125 E Pleasant Valley Blvd
Altoona, PA 16602

Phone

(814) 942-4699

Fax

(814) 942-4587

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Peng Cheng, DMD

Title

Owner/Dentist

Phone

(814) 942-4699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1972960409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025544",
            "telephone_number": "814-942-4699",
            "fax_number": "814-942-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-942-4699",
            "fax_number": "814-942-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILE DENTAL OF ALTOONA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "814-942-4699",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penn State Altoona Health and Wellness Center
• Janet Kay Pennington, M.S.CCC-SLP
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 04013)
• Pennsylvania Department of Public Welfare (Altoona Center)
• Harry Penny
• Perfect Smile Dental PC
• Peter C. Pham, DDS, P.C.
• Madison Lou Peterman, MS, CCC-SLP
• Ronald Peterman II, PHARMD.
• Bradley Peters, LPC

• General Practice Dentistry in Altoona, PA
• Providers in Altoona, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.