Perfect Teeth - East 104th Avenue P.C.
NPI 1922128859ActiveOrganization· Dentist, General Practice· Thornton, CO
Dentist, General Practice in Thornton, Colorado, registered in NPPES in April 2007. The authorized official on file is Laurie Summers, Credentialing.
Overview
| NPI | 1922128859 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6097 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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