# LOUIS C. PERON, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669491544
- **Authorized official:** DR. LOUIS CRAIG PERON D.D.S., M.S. (PRESIDENT/ENDODONTIST (OWNER))
- **Authorized official phone:** (757) 467-2102

## Contact information

- **Practice address:** 641 LYNNHAVEN PKWY, SUITE 202, VIRGINIA BEACH, VA 23452-7307
- **Practice address phone:** (757) 467-2102
- **Practice address fax:** (757) 486-4262
- **Mailing address:** 641 LYNNHAVEN PKWY, SUITE 202, VIRGINIA BEACH, VA 23452-7307
- **Mailing address phone:** (757) 467-2102
- **Mailing address fax:** (757) 486-4262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401004795 | VA | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020