PERFECT TEETH - GREELEY P.C. (NPI# 1790806479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790806479 |
Entity Type | Organization |
Organization Name | PERFECT TEETH - GREELEY P.C. |
Other Organization Name | PERFECT TEETH - GREELEY P.C. |
Practice Address |
902 14th St Greeley CO 80631-4622 |
Practice Telephone | 9703920152 |
Practice Fax Number | 9703921652 |
Mailing Telephone | 9703920152 |
Mailing Fax Number | 9703921652 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LAURIE 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 - Greeley P.C. | Doing Business As Name - Organization |
Street Address |
902 14TH ST |
City | GREELEY |
State | CO |
Zip Code | 80631-4622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
Find all providers in zip 80631 |
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 |
---|---|---|---|---|
1992321400 | Taha Syed Aziz | Dentist | 3400 W 16th St # 8e, Greeley, CO 80634-6862 | 2020-06-20 |
1568972883 | G Dental LLC | Dentist | 2918 W 10th St Ste 5, Greeley, CO 80634-5457 | 2017-10-02 |
1801324298 | Shawn Michael Custer | Dentist | 3400 W 16th St Ste 8e, Greeley, CO 80634-6862 | 2017-05-30 |
1679017560 | Dentists of Greeley, LLP | Dentist | 4421 Centerplace Dr, Suite A, Greeley, CO 80634-3756 | 2016-12-12 |
1316311012 | Cornerstone Orthodontics, LLC | Dentist | 1825 56th Avenue Unit A, Greeley, CO 80634 | 2015-11-18 |
1023421435 | Matthew Lee | Dentist | 2525 W 16th St Ste A, Greeley, CO 80634-4951 | 2014-06-04 |
1750678439 | Greeley Modern Dentistry, LLP | Dentist | 6632 10th Street Suite 101, Greeley, CO 80634 | 2011-07-01 |
1013132737 | Gregory Lyle Obermann | Dentist | 7251 West 20th Street, Bldg.h-2, Greeley, CO 80634 | 2007-04-16 |
1568584142 | James M. Shaddock IIi | Dentist | 516 N. Brisbane Ave, Greeley, CO 80634 | 2007-04-04 |
1780705939 | Steven Eugene Bagley | Dentist | 913 27th Ave, Greeley, CO 80634-5808 | 2007-04-03 |
Find all providers in GREELEY |
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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.