Organization
PERRY FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDRICH TYRONE PERRY DDS (OWNER/DENTIST)
(615) 896-3360
Entity
Organization
Contact information
Practice address
1121 GREENLAND DR, MURFREESBORO, TN 37130-2751
(615) 896-3360
(616) 589-6105
Mailing address
PO BOX 861, MURFREESBORO, TN 37133-0861
(615) 896-3360
(615) 896-1055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225329
—
TN
Enumeration date
03/31/2008
Last updated
03/31/2008
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