# PERRY DENTAL P.L.C.

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

## Provider details

- **NPI number:** 1801852108
- **Authorized official:** DR. TAMMY A MIKA DDS (OWNER/DENTIST)
- **Authorized official phone:** (517) 625-4163

## Contact information

- **Practice address:** 114 NORTH MAIN STREET, PERRY, MI 48872-0619
- **Practice address phone:** (517) 625-4163
- **Practice address fax:** (517) 625-5049
- **Mailing address:** PO BOX 619, PERRY, MI 48872-0619
- **Mailing address phone:** (517) 625-4163
- **Mailing address fax:** (517) 625-5049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 08/22/2020