Individual
DR. MARK PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 463-4005
Mailing address
663 COUNTY ROAD 3101, NEW BOSTON, TX 75570-4623
(903) 628-2401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
867
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDG222
STATE PROVIDER ID NUMBER
AK
01
—
DDG223
STATE PROVIDER ID NUMBER
AK
01
—
DDG225
STATE PROVIDER ID NUMBER
AK
01
—
DDG226
STATE PROVIDER ID NUMBER
AK
01
—
DDG227
STATE PROVIDER ID NUMBER
AK
Enumeration date
11/14/2007
Last updated
11/14/2007
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