Provider Demographics
NPI:1982609137
Name:GEORGE PERRI DDS, THOMAS BIGLEY DDS, SHAHRIAR PARVIZPOUR DDS, A DENTAL
Entity Type:Organization
Organization Name:GEORGE PERRI DDS, THOMAS BIGLEY DDS, SHAHRIAR PARVIZPOUR DDS, A DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PERRI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-698-8272
Mailing Address - Street 1:8152 PAINTER AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3756
Mailing Address - Country:US
Mailing Address - Phone:562-698-8272
Mailing Address - Fax:
Practice Address - Street 1:8152 PAINTER AVE
Practice Address - Street 2:STE 101
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3756
Practice Address - Country:US
Practice Address - Phone:562-698-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300001223G0001X
CA354721223G0001X
CA427561223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty