Provider Demographics
NPI:1952660219
Name:DAVID M. PERRY, DDS, SHARINE THENARD, DDS, AND MYLINH NGO, DMD, INC.
Entity Type:Organization
Organization Name:DAVID M. PERRY, DDS, SHARINE THENARD, DDS, AND MYLINH NGO, DMD, INC.
Other - Org Name:ALAMEDA PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MASON
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-521-5016
Mailing Address - Street 1:1105 ATLANTIC AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1185
Mailing Address - Country:US
Mailing Address - Phone:510-521-5016
Mailing Address - Fax:510-522-8283
Practice Address - Street 1:1105 ATLANTIC AVE STE 101
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1185
Practice Address - Country:US
Practice Address - Phone:510-521-5016
Practice Address - Fax:510-522-8283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty