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Deactivated NPI 1932209780 Deactivated / Inactive NPI Female Practitioner

Dr. Laurie Jean Peckham , DDS

Dentist - General Practice • Arvada, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Laurie Peckham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date September 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Laurie Peckham, DDS was a registered Dentist - General Practice practicing in Arvada, CO. Throughout an active medical career spanning 15 years, Dr. Peckham provided care at the practice location at 6425 WADSWORTH BLVD until profile deactivation on 2021-09-16.

Practice Location & Contact Primary Location

Practice Address

6425 Wadsworth Blvd
Suite 209

Arvada, CO 800034438

Telephone 3034216178
Fax 3033255795
Associated Practice Facility / Clinic
🏢 Mission Chiropractic Inc Facility NPI 1235168527

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Arvada, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
75 Specialists

Practicing in Arvada, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 5463

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1437379211

Doctor of Audiology

NPI 1447288329

Doctor of Chiropractic

Jennifer Massa , RDH

Dental Hygienist

NPI 1588050447

Registered Dental Hygienist

NPI 1992875785

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 16, 2021

Record deactivated on September 16, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 6425 WADSWORTH BLVD, SUITE 209, ARVADA, CO 800034438 (Tel: 3034216178)

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Updated Business Mailing Address July 09, 2007

Registered at 6425 WADSWORTH BLVD, SUITE 209, ARVADA, CO 800034438 (Tel: 3034216178)

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Provider Name / Credentials Updated July 09, 2007

Recorded as LAURIE PECKHAM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #5463 in CO)

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Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932209780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: July 09, 2007
Deactivation Date: September 16, 2021

Mailing Address

6425 Wadsworth Blvd, Suite 209

Arvada, CO 800034438

Phone: 3034216178

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.