Provider Demographics
NPI:1841620077
Name:PERRY DENTISTRY
Entity Type:Organization
Organization Name:PERRY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-540-7500
Mailing Address - Street 1:6150 ELDORADO PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5622
Mailing Address - Country:US
Mailing Address - Phone:972-540-7500
Mailing Address - Fax:972-369-0267
Practice Address - Street 1:6150 ELDORADO PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5622
Practice Address - Country:US
Practice Address - Phone:972-540-7500
Practice Address - Fax:972-369-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty