Provider Demographics
NPI:1730318239
Name:PERRINE, VALERIE NICOLE (DDS)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:NICOLE
Last Name:PERRINE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1079
Mailing Address - Street 2:
Mailing Address - City:COWEN
Mailing Address - State:WV
Mailing Address - Zip Code:26206-1079
Mailing Address - Country:US
Mailing Address - Phone:304-226-5114
Mailing Address - Fax:304-226-0650
Practice Address - Street 1:7028 WEBSTER ROAD
Practice Address - Street 2:
Practice Address - City:COWEN
Practice Address - State:WV
Practice Address - Zip Code:26206-1079
Practice Address - Country:US
Practice Address - Phone:304-226-5114
Practice Address - Fax:304-226-0650
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist