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NPI Code Detail

MEDICARE: PERFECT TEETH - YALE P.C.

MEDICARE: PERFECT TEETH - YALE P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6097CO

General Provider Information

NPI Number : 1316068729
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERFECT TEETH - YALE P.C.
Provider Business Mailing Address
First Line : 7515 W YALE AVE
Second Line : SUITE A
City : DENVER
State : CO
Zip : 80227-3423
Country : US
Telephone Number : 303-988-3319
Fax Number : 303-988-3492
Provider Business Practice Location Address
First Line : 7515 W YALE AVE
Second Line : SUITE A
City : DENVER
State : CO
Zip : 80227-3423
Country : US
Telephone Number : 303-988-3319
Fax Number : 303-988-3492
Authorized Official
Title or Position : CREDENTIALING
Name : LAURIE SUMMERS
Credential :
Telephone Number : 303-285-6098
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/22/2020

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Directions to “PERFECT TEETH - YALE P.C. ” Practice Location

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