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PERFECT TEETH - FOURTH STREET P.C.
NPI 1336260769
Dentist - General Practice in Albuquerque, NM

Active since April 03, 2007
5721 4TH ST NW, ALBUQUERQUE, NM 87107(505) 345-0515(505) 345-2418 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Perfect Teeth - Fourth Street P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFECT TEETH - FOURTH STREET P.C. (NPI 1336260769) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since April 2007. The organization lists Laurie Summers, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1336260769
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePERFECT TEETH - FOURTH STREET P.C.
Location Address5721 4TH ST NWAlbuquerque, NM 87107-5302
Mailing Address5721 4th St NwAlbuquerque, NM 87107-5302 · (505) 345-0515 · Fax (505) 345-2418
Phone(505) 345-0515
Fax(505) 345-2418
Organization SubpartNo
Authorized OfficialLaurie SummersCredentialing · (303) 285-6098
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336260769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 1398
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.
5721 4TH ST NW, Albuquerque, NM 87107
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Other Names 1

Doing Business AsPerfect Teeth - Fourth Street P.c.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BARBARA V LEWIS HEYWOOD DMD
Dentist (General Practice)
5721 4TH ST NW, PERFECT TEETH FOURTH STREET PC
ALBUQUERQUE, NM 87107
Bernalillo County (505) 345-0515
PRISCILLA M LEARY DDS
Dentist (General Practice)
5721 4TH ST NW
ALBUQUERQUE, NM 87107
Bernalillo County (505) 345-0515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perfect Teeth - Fourth Street P.C.'s NPI number?

The NPI number for Perfect Teeth - Fourth Street P.C. is 1336260769. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Perfect Teeth - Fourth Street P.C. located?

Perfect Teeth - Fourth Street P.C. is located at 5721 4th St NW, Albuquerque, NM 87107. The listed phone number is (505) 345-0515.

What is Perfect Teeth - Fourth Street P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Perfect Teeth - Fourth Street P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.