Provider Demographics
NPI:1043793243
Name:DDSPERIO, PLLC
Entity Type:Organization
Organization Name:DDSPERIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:BEIRUTE-PRADA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-289-3330
Mailing Address - Street 1:1313 N BELT LINE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1784
Mailing Address - Country:US
Mailing Address - Phone:972-289-3330
Mailing Address - Fax:972-289-3633
Practice Address - Street 1:1313 N BELT LINE RD STE 101
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1784
Practice Address - Country:US
Practice Address - Phone:972-289-3330
Practice Address - Fax:972-289-3633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental