Provider Demographics
NPI:1740535566
Name:PERRINS, SETH LOUNSBURY (DDS)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:LOUNSBURY
Last Name:PERRINS
Suffix:
Gender:M
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:EVANS DENTAL CLINIC CAMP FOSTER
Mailing Address - Street 2:BLDG. 5717 ON TARAWA ST.
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:47211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CAMP FOSTER POST OFFICE
Practice Address - Street 2:BLDG. 5717
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96379
Practice Address - Country:US
Practice Address - Phone:098-645-7381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60294726122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist