Provider Demographics
NPI:1346339991
Name:PERRY, DONALD ROSS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ROSS
Last Name:PERRY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:65 RAFT ISLAND DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5918
Mailing Address - Country:US
Mailing Address - Phone:253-752-9833
Mailing Address - Fax:253-752-0282
Practice Address - Street 1:2102 N PEARL ST STE 202
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2550
Practice Address - Country:US
Practice Address - Phone:253-752-9833
Practice Address - Fax:253-752-0282
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA46621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice