# JOHN W PERRINE, DDS

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

## Provider details

- **NPI number:** 1992270367
- **Authorized official:** DR. JOHN W PERRINE DDS (OWNER)
- **Authorized official phone:** (304) 226-5114

## Contact information

- **Practice address:** 7028 WEBSTER RD, COWEN, WV 26206-8720
- **Practice address phone:** (304) 226-5114
- **Practice address fax:** (304) 226-0650
- **Mailing address:** PO BOX 1079, COWEN, WV 26206-1079
- **Mailing address phone:** (304) 226-5114
- **Mailing address fax:** (304) 226-0650

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2018
- **Last updated:** 10/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0137082000 | — | WV |