Perfect Teeth - Fourth Street P.C. in Albuquerque - General Practice
Perfect Teeth - Fourth Street P.C. - NPI 1336260769
Perfect Teeth - Fourth Street P.C. is a General Practice in Albuquerque, New Mexico. Perfect Teeth - Fourth Street P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Perfect Teeth - Fourth Street P.C. is 1336260769. The last update date is 2020-08-22.
Perfect Teeth - Fourth Street P.C.'s current location address is 5721 4th St Nw, Albuquerque, New Mexico. You can contact this provider via phone number 5053450515 and fax number 5053452418. The mailing address for Perfect Teeth - Fourth Street P.C. is 5721 4th St Nw, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Perfect Teeth - Fourth Street P.C. |
|---|---|
| Address | 5721 4th St Nw, Albuquerque, New Mexico |
| Phone Number | 5053450515 |
| Fax Number | 5053452418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Summers Laurie |
| Telephone Number | 3032856098 |
NPI Number Detail
| NPI Number | 1336260769 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5721 4th St Nw |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871075302 |
| Phone Number | 5053450515 |
| Fax Number | 5053452418 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1398 |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Perfect Teeth - Fourth Street P.C. by the Centers for Medicare & Medicaid Services?
The Perfect Teeth - Fourth Street P.C. has been assigned the NPI (National Provider Identifier) 1336260769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Perfect Teeth - Fourth Street P.C.?
The Perfect Teeth - Fourth Street P.C. is physically situated at 5721 4Th St Nw, in the city of Albuquerque, state of NM, with the postal code 871075302.
What is Perfect Teeth - Fourth Street P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Perfect Teeth - Fourth Street P.C. is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336260769 to Perfect Teeth - Fourth Street P.C.?
The Perfect Teeth - Fourth Street P.C. received its 1336260769 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the Perfect Teeth - Fourth Street P.C.'s details last updated?
The information pertaining to the Perfect Teeth - Fourth Street P.C., including its address, specialty, and other details, was most recently updated on 2020-08-22.