# PERFECT TEETH - RIO RANCHO P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Perfect Teeth - Rio Rancho P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245351675
- **Authorized official:** LAURIE SUMMERS (CREDENTIALING)
- **Authorized official phone:** (303) 285-6098

## Contact information

- **Practice address:** 4500 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124-5932
- **Practice address phone:** (505) 994-1110
- **Practice address fax:** (505) 994-1112
- **Mailing address:** 4500 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124-5932
- **Mailing address phone:** (505) 994-1110
- **Mailing address fax:** (505) 994-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1398 | NM | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020