Provider Demographics
NPI:1750458741
Name:PERRY FAMILY DENTISTRY, L.C.
Entity Type:Organization
Organization Name:PERRY FAMILY DENTISTRY, L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:STEFFEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-465-3501
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:IA
Mailing Address - Zip Code:50220-0369
Mailing Address - Country:US
Mailing Address - Phone:515-465-3501
Mailing Address - Fax:515-465-9390
Practice Address - Street 1:1305 2ND ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:IA
Practice Address - Zip Code:50220-1511
Practice Address - Country:US
Practice Address - Phone:515-465-3501
Practice Address - Fax:515-465-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental