Evan L Perry Dds Pc in Provo - General Practice

Evan L Perry Dds Pc - NPI 1134244734

Evan L Perry Dds Pc is a General Practice in Provo, Utah. Evan L Perry Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Evan L Perry Dds Pc is 1134244734. The last update date is 2008-10-14.

Evan L Perry Dds Pc's current location address is 320 River Park Dr, Provo, Utah. You can contact this provider via phone number 8012257111 and fax number 8017649777. The mailing address for Evan L Perry Dds Pc is 320 River Park Dr, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evan L Perry Dds Pc
Address 320 River Park Dr, Provo, Utah
Phone Number 8012257111
Fax Number 8017649777
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Perry Lee Evan
Credentials DDS
Telephone Number 8012257111

NPI Number Detail

NPI Number 1134244734
Provider Enumeration Date 2007-03-20
Last Updated Date 2008-10-14

Provider Mailing Address Detail

Address 320 River Park Dr
City Provo
State Utah (UT)
Post Code 846046060
Phone Number 8012257111
Fax Number 8017649777

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 142103
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
528906301003 UT --

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FAQs about Evan L Perry Dds Pc

What is the Evan L Perry Dds Pc's unique identification number?

The Evan L Perry Dds Pc has been assigned the NPI (National Provider Identifier) Number 1134244734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Evan L Perry Dds Pc's facilities are situated?

The facilities of Evan L Perry Dds Pc are physically located at the following address: 320 River Park Dr, Provo, UT, 846046060.

What is Evan L Perry Dds Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Evan L Perry Dds Pc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When did Evan L Perry Dds Pc receive its 1134244734 assignment?

The Evan L Perry Dds Pc was assigned its 1134244734 on 2007-03-20, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Evan L Perry Dds Pc most recently updated or revised?

The details related to Evan L Perry Dds Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-14.

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