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NPI Code Detail

MEDICARE: PERFECT TEETH - 88TH & WADSWORTH P.C.

MEDICARE: PERFECT TEETH - 88TH & WADSWORTH 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 : 1508987900
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERFECT TEETH - 88TH & WADSWORTH P.C.
Provider Business Mailing Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-424-5463
Fax Number : 303-424-4830
Provider Business Practice Location Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-424-5463
Fax Number : 303-424-4830
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

Similar Medicare Providers

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Practice Fax:
1750608691 — DOUGLAS C. HARDY DMD
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1477865657 — DR. ROBERT KIRK MCBRIDE D.D.S.
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1508382045 — DR. MICHAEL NGUYEN DMD
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Directions to “PERFECT TEETH - 88TH & WADSWORTH P.C. ” Practice Location

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