Provider Demographics
NPI:1558454371
Name:RONALD C PERKINS DDS MSD PC
Entity Type:Organization
Organization Name:RONALD C PERKINS DDS MSD PC
Other - Org Name:ORTHODONTIC OFFICES OF RONALD C PERKINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:214-553-5553
Mailing Address - Street 1:9757 WHITE ROCK TRAIL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238
Mailing Address - Country:US
Mailing Address - Phone:214-553-5553
Mailing Address - Fax:214-553-5551
Practice Address - Street 1:9757 WHITE ROCK TRAIL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238
Practice Address - Country:US
Practice Address - Phone:214-553-5553
Practice Address - Fax:214-553-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty