PERFECT TEETH - SOUTH FORT COLLINS P.C. (NPI# 1700907102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700907102 |
| Entity Type | Organization |
| Organization Name | PERFECT TEETH - SOUTH FORT COLLINS P.C. |
| Other Organization Name | PERFECT TEETH - SOUTH FORT COLLINS P.C. |
| Practice Address |
1355 Riverside Ave Unit D Fort Collins CO 80524-4368 |
| Practice Telephone | 9704930999 |
| Practice Fax Number | 9704932188 |
| Mailing Telephone | 9704930999 |
| Mailing Fax Number | 9704932188 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAURIE SUMMERS (CREDENTIALING) |
| Authorized Official Telephone | 30328560987 |
| 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 - South Fort Collins P.C. | Doing Business As Name - Organization |
| Street Address |
1355 RIVERSIDE AVE UNIT D |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166690 | Anderson Medical Procedures LLC | Clinic/Center | 1355 Riverside Ave, Fort Collins, CO 80524-4368 | 2019-07-23 |
| 1013116938 | Foot Surgery Center of Northern Colorado LLC | Clinic/Center | 1355 Riverside Ave, Suite B, Fort Collins, CO 80524 | 2007-07-11 |
| 1457571127 | Anderson Podiatry Center PC | Podiatrist | 1355 Riverside Ave, Suite C, Fort Collins, CO 80524-4368 | 2007-04-26 |
| 1275577389 | James C Anderson | Podiatrist | 1355 Riverside Ave, Suite C, Fort Collins, CO 80524-4366 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| 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 |
|---|---|---|---|---|
| 1386252773 | Aaron Robert Welch | Dentist | 356 E Harmony Rd Unit 6a, Fort Collins, CO 80525-5960 | 2020-07-21 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1306405212 | Ashley May Zimm | Dentist | 3838 S Timberline Rd, Fort Collins, CO 80525-3415 | 2019-06-13 |
| 1578049839 | Scott Mcnairy Dds Pllc | Dentist | 1136 E Stuart St Ste 3140, Fort Collins, CO 80525-1196 | 2018-07-19 |
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1356722748 | Modern Dental Professionals Co PC | Dentist | 3531 S College Ave Unit 110, Fort Collins, CO 80525-2642 | 2015-06-11 |
| 1689092835 | Perfect Teeth - North College P.C. | Dentist | 1856 N. College Avenue, Ste 110, Fort Collins, CO 80524 | 2014-04-04 |
| 1780011221 | Spring Creek Dental Pllc | Dentist | 2001 South Shields Street, Bldg. C-1, Fort Collins, CO 80526 | 2013-09-30 |
| 1558622027 | Robert E Gartland | Dentist | 202 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2012-05-31 |
| 1619259124 | Brenna Behrens | Dentist | 1102 E Lincoln Ave Unit B, Fort Collins, CO 80524-2521 | 2011-09-12 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on PERFECT TEETH - SOUTH FORT COLLINS P.C..
| 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.