Provider Demographics
NPI:1508481995
Name:ALLYN G PERKINS DMD LLC
Entity Type:Organization
Organization Name:ALLYN G PERKINS DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-249-1646
Mailing Address - Street 1:1909 RITNER HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-9310
Mailing Address - Country:US
Mailing Address - Phone:717-249-1646
Mailing Address - Fax:717-249-0951
Practice Address - Street 1:1909 RITNER HWY STE 2
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-9310
Practice Address - Country:US
Practice Address - Phone:717-249-1646
Practice Address - Fax:717-249-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental