PERFECT TEETH BOULDER P.C.


Address: 4155 Darley Ave, #f, Boulder, CO 80305-6536
Phone: 3034999700

PERFECT TEETH BOULDER P.C. (NPI# 1184744096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184744096
Entity Type Organization
Organization Name PERFECT TEETH BOULDER P.C.
Other Organization Name PERFECT TEETH BOULDER P.C.
Practice Address 4155 Darley Ave
#f
Boulder
CO 80305-6536
Practice Telephone 3034999700
Practice Fax Number 3034992528
Mailing Telephone 3034999700
Mailing Fax Number 3034992528
Enumeration Date 2007-04-02
Last Update Date 2020-08-22
Authorized Official Name MS. LAURIE K. SUMMERS (CREDENTIALING)
Authorized Official Telephone 3032856098
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
6097 CO Dental Providers

Other Provider/Organization Names

Other Name Type Code
Perfect Teeth Boulder P.C. Doing Business As Name - Organization

Office Location

Street Address 4155 DARLEY AVE
#F
City BOULDER
State CO
Zip Code 80305-6536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871585729 Ethelyn Gail Thomason Dentist 4155 Darley Ave, Ste F, Boulder, CO 80305-6536 2005-08-17
1972963833 Robert Stephen Judd Dentist 4155 Darley Ave, Boulder, CO 80305-6536 2016-03-04
1821468877 Eve Beaumont Dental Hygienist 4155 Darley Ave, Boulder, CO 80305-6536 2015-10-02
1750764122 Molly Johnson Dentist 4155 Darley Ave, Boulder, CO 80305-6536 2015-07-03
1962784751 Miroslawa Gabriela Hari Dental Hygienist 4155 Darley Ave, Boulder, CO 80305-6536 2011-09-16
1730490897 Joy Liou Hicks Dentist 4155 Darley Ave, Unit C, Boulder, CO 80305-6536 2010-06-23
1033287115 Lonnie M Sibley Jr. Dentist 4155 Darley Ave, Boulder, CO 80305-6536 2006-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538698923 Carian Mclean Registered Nurse 1013 Berea Dr, Boulder, CO 80305 2017-06-08
1548629439 Kimberly Norquist Dental Hygienist 661 S. Broadway St, Boulder, CO 80305 2016-02-19
1871981266 Kathleen Anne Stone Registered Nurse 3680 Silver Plume Lane, Boulder, CO 80305 2015-01-07
1104235779 Joyce Larson Marriage & Family Therapist 1190 S Lashley Ln, Boulder, CO 80305 2014-08-07
1982035788 Virginia Pleasants Vandenbergh Counselor 4760 Ludlow St, Boulder, CO 80305 2013-12-03
1790992550 Jasjit Singh Gill Pharmacist The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 2007-05-17
1477768299 Stephen W Laycock Dentist 4150 Darley Ave., Suite 7, Boulder, CO 80305 2007-05-14
1871614560 Steven Leslie Buffer Dentist 385 Broadway St, Boulder, CO 80305 2007-04-02
1801927793 Jeffrey Dann Acupuncturist 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 2007-03-09
1235292145 Pharmaca Integrative Pharmacy Exclusive Provider Organization 645 South Boulder, Boulder, CO 80305 2006-12-19
Find all providers in zip 80305

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336751213 Michael Kawulok Dentist 5221 Pinehurst Dr, Boulder, CO 80301-3792 2020-08-20
1780235713 Jeremy Richard Altdorfer Dentist 1933 28th St Ste 204, Boulder, CO 80301-1100 2019-09-20
1538688908 Kyle N. Daniel Dds PC Dentist 2830 Valmont Rd, Boulder, CO 80301 2017-09-16
1508243775 Alyssa Ellsworth Dentist 4150 Darley Ave Ste 3, Boulder, CO 80305-6537 2015-04-27
1982008546 Kenneth Warren Ostrov Dentist 661 S Broadway St, Boulder, CO 80305-5926 2014-10-10
1952718553 David P. Stangl, Jr., Dmd, Professional LLC Dentist 2880 Folsom St Ste 202, Boulder, CO 80304-3769 2014-07-15
1497098974 Andrea Irarrazabal Dentist 3216 Arapahoe Ave, Boulder, CO 80303-1043 2013-04-02
1770835118 Gary Raymond Hubiak Dentist 810 36th St, Boulder, CO 80303-2440 2012-10-09
1427316215 Anil P Nutakki Dentist 1840 Folsom St Ste 301, Boulder, CO 80302-5712 2012-04-30
1457661647 Corbett W Summers Dds Dentist 777 29th St., Suite 300, Boulder, CO 80303 2010-10-21
Find all providers in BOULDER

Competitor

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City BOULDER
Zip Code 80305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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