Provider Demographics
NPI:1235473331
Name:PERRY, ALAINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAINA
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ALAINA
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1309 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-9172
Mailing Address - Country:US
Mailing Address - Phone:740-374-0123
Mailing Address - Fax:740-376-9985
Practice Address - Street 1:1309 GREENE ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-9172
Practice Address - Country:US
Practice Address - Phone:740-374-0123
Practice Address - Fax:740-376-9985
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-023671122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist