Provider Demographics
NPI:1407938251
Name:PERRY, DEBORAH ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:PERRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-9679
Mailing Address - Country:US
Mailing Address - Phone:801-546-2263
Mailing Address - Fax:801-546-3917
Practice Address - Street 1:950 25TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-2606
Practice Address - Country:US
Practice Address - Phone:801-395-7090
Practice Address - Fax:801-395-7099
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4948988-9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist