Individual
DR. RANDALL SCOTT PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1132 DAVIE AVENUE, STATESVILLE, NC 28677
(704) 881-0990
(704) 872-8541
Mailing address
1132 DAVIE AVENUE, STATESVILLE, NC 28677
(704) 881-0990
(704) 872-8541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033325014
NPI TYPE II
NC
Enumeration date
01/15/2014
Last updated
01/17/2014
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