PERFECT TEETH - 64TH AND WARD P.C. (NPI# 1659491546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659491546 |
| Entity Type | Organization |
| Organization Name | PERFECT TEETH - 64TH AND WARD P.C. |
| Other Organization Name | PERFECT TEETH - 64TH AND WARD P.C. |
| Practice Address |
12650 W 64th Ave Unit J Arvada CO 80004-3893 |
| Practice Telephone | 3034239000 |
| Practice Fax Number | 3034238249 |
| Mailing Telephone | 3034239000 |
| Mailing Fax Number | 3034238249 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6097 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Perfect Teeth - 64th and Ward P.C. | Doing Business As Name - Organization |
| Street Address |
12650 W 64TH AVE UNIT J |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861867632 | Jill Marie Brogdon | Registered Nurse | 12650 W 64th Ave, Unit 501, Arvada, CO 80004-3893 | 2015-12-04 |
| 1306241278 | Leah Jones | Nurse Practitioner | 12650 W 64th Ave, Suite E501, Arvada, CO 80004-3893 | 2014-11-04 |
| 1558760579 | Paul Casey | Dentist | 12650 W 64th Ave, Arvada, CO 80004-3893 | 2014-08-14 |
| 1619390051 | Beth Damstedt | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2014-01-21 |
| 1861738981 | Kelly Jo Wagner | Nurse Practitioner | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2012-12-17 |
| 1578831137 | Megan Mohatt | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2011-12-09 |
| 1447555016 | Joshua Aaron Bezecny | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1356991863 | Arvada Dentistry and Orthodontics Pllc | Dentist | 5656 Ward Way Ste C, Arvada, CO 80002-1346 | 2019-09-17 |
| 1417501180 | My Local Colorado Dental Practice, LLC | Dentist | 8410 Wadsworth Blvd Unit G, Arvada, CO 80003-0918 | 2019-07-30 |
| 1720570088 | David Chen | Dentist | 12191 W 64th Ave Ste 202, Arvada, CO 80004-4030 | 2018-06-02 |
| 1205383965 | Adam James Schwab | Dentist | 5400 Ward Rd Bldg 2-100, Arvada, CO 80002-1821 | 2016-09-09 |
| 1760838825 | Evelyn Qi | Dentist | 12650 W 64th Ave Unit J, Arvada, CO 80004-3887 | 2016-05-09 |
| 1801263900 | Michael W Woods Dds PC | Dentist | 5730 Ward Rd Ste 203, Arvada, CO 80002-1300 | 2015-08-25 |
| 1669849857 | Arvada Smiles Dentistry, LLP | Dentist | 7470 W 52nd Ave, Arvada, CO 80002-3710 | 2015-08-24 |
| 1568843076 | Modern Dental Professionals Co PC | Dentist | 7985 Wadsworth Blvd Ste B, Arvada, CO 80003-2111 | 2015-06-11 |
| 1902174725 | Modern Dental Professionals Co, PC | Dentist | 7985 B Wadsworth Blvd, Arvada, CO 80003 | 2011-12-07 |
| Find all providers in ARVADA | ||||
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| 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.