Provider Demographics
NPI:1770623571
Name:PERRIE, CHRISTOPHER (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:PERRIE
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 PARKING PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2415
Mailing Address - Country:US
Mailing Address - Phone:215-528-3439
Mailing Address - Fax:
Practice Address - Street 1:32 PARKING PLZ
Practice Address - Street 2:SUITE 502
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2415
Practice Address - Country:US
Practice Address - Phone:215-528-3439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0374601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery